Provider Demographics
NPI:1891095535
Name:OJOFEITIMI, ELIZABETH OLUYEMISI (RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:OLUYEMISI
Last Name:OJOFEITIMI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:OLUYEMISI
Other - Last Name:OLOWO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:39 PAERDEGAT 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4133
Mailing Address - Country:US
Mailing Address - Phone:347-558-5580
Mailing Address - Fax:
Practice Address - Street 1:39 PAERDEGAT 3RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4133
Practice Address - Country:US
Practice Address - Phone:347-558-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY45361-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health