Provider Demographics
NPI:1295150324
Name:ADEYEMI, OLANREWAJU (RN)
Entity type:Individual
Prefix:
First Name:OLANREWAJU
Middle Name:
Last Name:ADEYEMI
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 1:1196 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5740
Mailing Address - Country:US
Mailing Address - Phone:954-600-7624
Mailing Address - Fax:
Practice Address - Street 1:1196 SW 122ND AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-5740
Practice Address - Country:US
Practice Address - Phone:954-600-7624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9274950163W00000X, 163WH0200X, 163WI0500X, 163WP0200X, 163WW0000X, 163WX0200X
FLRN 927 4950163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WX0200XNursing Service ProvidersRegistered NurseOncology