Provider Demographics
NPI:1639909112
Name:OLUWAYEMI, OLUWAKEMI FLORENCE (CNA)
Entity type:Individual
Prefix:
First Name:OLUWAKEMI
Middle Name:FLORENCE
Last Name:OLUWAYEMI
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15320 33RD AVE S
Mailing Address - Street 2:APT S610
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5190
Mailing Address - Country:US
Mailing Address - Phone:612-383-8086
Mailing Address - Fax:
Practice Address - Street 1:15320 33RD AVE S
Practice Address - Street 2:UNIT S610
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:612-383-8086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61184320282E00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No282E00000XHospitalsLong Term Care Hospital