Provider Demographics
NPI:1497588776
Name:FEYIBUNMI, ODUNAYO FAITH
Entity type:Individual
Prefix:
First Name:ODUNAYO
Middle Name:FAITH
Last Name:FEYIBUNMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6813 RIVERDALE RD APT H5
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1817
Mailing Address - Country:US
Mailing Address - Phone:227-213-8185
Mailing Address - Fax:
Practice Address - Street 1:6813 RIVERDALE RD APT H5
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1817
Practice Address - Country:US
Practice Address - Phone:227-213-8185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide