Provider Demographics
NPI:1760950075
Name:LADOYE, REMILEKUN DELE (FNP-C)
Entity Type:Individual
Prefix:
First Name:REMILEKUN
Middle Name:DELE
Last Name:LADOYE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SEABOARD LN STE 200B
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8282
Mailing Address - Country:US
Mailing Address - Phone:615-721-7020
Mailing Address - Fax:800-266-5158
Practice Address - Street 1:51 W 3RD ST STE 500
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2871
Practice Address - Country:US
Practice Address - Phone:480-237-5098
Practice Address - Fax:877-358-8109
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0103528-NP363LF0000X
COAPN.0994141-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily