Provider Demographics
NPI:1790023448
Name:ADEFIOYE, ADEOLA TITILAYO (RN)
Entity Type:Individual
Prefix:
First Name:ADEOLA
Middle Name:TITILAYO
Last Name:ADEFIOYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922-924 W. NORTH AVENUE
Mailing Address - Street 2:TOTAL HEALTH CARE - TRUE HEALTH
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217
Mailing Address - Country:US
Mailing Address - Phone:410-383-8300
Mailing Address - Fax:410-735-5307
Practice Address - Street 1:922-924 W. NORTH AVENUE
Practice Address - Street 2:TOTAL HEALTH CARE - TRUE HEALTH
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217
Practice Address - Country:US
Practice Address - Phone:301-493-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR146831163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse