Provider Demographics
NPI:1922630003
Name:OYELAKIN, SOLA D
Entity Type:Individual
Prefix:
First Name:SOLA
Middle Name:D
Last Name:OYELAKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18862 E 48TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8725
Mailing Address - Country:US
Mailing Address - Phone:720-975-5714
Mailing Address - Fax:
Practice Address - Street 1:18862 E 48TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8725
Practice Address - Country:US
Practice Address - Phone:720-975-5714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1635718163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health