Provider Demographics
NPI:1720394026
Name:OBIKUNLE, ABOSEDE FRANCISCA
Entity Type:Individual
Prefix:MRS
First Name:ABOSEDE
Middle Name:FRANCISCA
Last Name:OBIKUNLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8715
Mailing Address - Country:US
Mailing Address - Phone:614-306-6447
Mailing Address - Fax:614-568-0029
Practice Address - Street 1:4840 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8715
Practice Address - Country:US
Practice Address - Phone:614-306-6447
Practice Address - Fax:614-568-0029
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 300554163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse