Provider Demographics
NPI:1184480030
Name:OYELANA, OLUMIDE
Entity type:Individual
Prefix:
First Name:OLUMIDE
Middle Name:
Last Name:OYELANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2781 LEATHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-2509
Mailing Address - Country:US
Mailing Address - Phone:614-732-3361
Mailing Address - Fax:
Practice Address - Street 1:2781 LEATHERWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-2509
Practice Address - Country:US
Practice Address - Phone:614-732-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide