Provider Demographics
NPI:1942542659
Name:OYENIYI, COMFORT TAIYE
Entity Type:Individual
Prefix:MRS
First Name:COMFORT
Middle Name:TAIYE
Last Name:OYENIYI
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 1:1200 NE 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1022
Mailing Address - Country:US
Mailing Address - Phone:405-522-8100
Mailing Address - Fax:
Practice Address - Street 1:1200 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-1022
Practice Address - Country:US
Practice Address - Phone:405-522-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37V861260699OtherOKLAHOMA STATE DEPARTMENT OF HEALTH NURSE AIDE CERIFICATION
OK37V978290401OtherOKLAHOMA STATE DEPARTMENT OF HEALTH NURSE AIDE CERTIFICATION
OK378413250412OtherOKLAHOMA STATE DEPARTMENT OF HEALTH NURSE AIDE CERTIFICATION