Provider Demographics
NPI:1134583057
Name:OLONADE, OLADUNNI (RN)
Entity type:Individual
Prefix:
First Name:OLADUNNI
Middle Name:
Last Name:OLONADE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PARKER RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2141
Mailing Address - Country:US
Mailing Address - Phone:908-568-2598
Mailing Address - Fax:
Practice Address - Street 1:60 PARKER RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2141
Practice Address - Country:US
Practice Address - Phone:908-568-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13528600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse