Provider Demographics
NPI:1851142871
Name:OKUNEYE, FAITH ONAJITE (RN)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:ONAJITE
Last Name:OKUNEYE
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 1:11033 UNIVERSITY AVE NE APT D
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-1997
Mailing Address - Country:US
Mailing Address - Phone:763-310-6512
Mailing Address - Fax:
Practice Address - Street 1:11033 UNIVERSITY AVE NE APT D
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-1997
Practice Address - Country:US
Practice Address - Phone:763-310-6512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2521929163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse