Provider Demographics
NPI:1851642664
Name:SOLAWON, ADEDAMOLA OLUWAFUNMILOLA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ADEDAMOLA
Middle Name:OLUWAFUNMILOLA
Last Name:SOLAWON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:ADEDAMOLA
Other - Middle Name:OLUWAFUNMILOLA
Other - Last Name:AJIBOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9343 MINERAL ROCK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2073
Mailing Address - Country:US
Mailing Address - Phone:401-316-5562
Mailing Address - Fax:
Practice Address - Street 1:14522 S POST OAK RD
Practice Address - Street 2:STE 203B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6001
Practice Address - Country:US
Practice Address - Phone:832-638-4562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37718363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily