Provider Demographics
NPI:1760759583
Name:ALABI, TEMITOPE O
Entity Type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:O
Last Name:ALABI
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 1:8608 WILDOMAR AVE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8552
Mailing Address - Country:US
Mailing Address - Phone:614-571-0417
Mailing Address - Fax:
Practice Address - Street 1:8608 WILDOMAR AVE
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8552
Practice Address - Country:US
Practice Address - Phone:614-571-0417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN145587164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse