Provider Demographics
NPI:1295480127
Name:OLAMIGOKE, FLORENCE OLUREMI (RN)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:OLUREMI
Last Name:OLAMIGOKE
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 1:4568 CLOISTER CIR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-3640
Mailing Address - Country:US
Mailing Address - Phone:703-835-5126
Mailing Address - Fax:
Practice Address - Street 1:4568 CLOISTER CIR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-3640
Practice Address - Country:US
Practice Address - Phone:703-835-5126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001104851163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management