Provider Demographics
NPI:1760712913
Name:AKINTAN-ADAJI, OYESOLA OMOWUNMI (FNP-BC; PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:OYESOLA
Middle Name:OMOWUNMI
Last Name:AKINTAN-ADAJI
Suffix:
Gender:F
Credentials:FNP-BC; PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17307 RUSSET DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3604
Mailing Address - Country:US
Mailing Address - Phone:301-792-0855
Mailing Address - Fax:
Practice Address - Street 1:8955 EDMONSTON RD UNIT F&H
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1006
Practice Address - Country:US
Practice Address - Phone:301-552-9385
Practice Address - Fax:301-552-9381
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1009772363LF0000X
MDR174454363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily