Provider Demographics
NPI:1013525575
Name:ADENIYI, OLUWATOYIN M (FNP-C)
Entity Type:Individual
Prefix:
First Name:OLUWATOYIN
Middle Name:M
Last Name:ADENIYI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6658 MILLER SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3567
Mailing Address - Country:US
Mailing Address - Phone:832-603-2827
Mailing Address - Fax:
Practice Address - Street 1:13977 WESTHEIMER RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5386
Practice Address - Country:US
Practice Address - Phone:832-937-5906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1003037363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily