Provider Demographics
NPI:1720479959
Name:ADULOJU-ODUNAIYA, OLUWATOYIN VICTORIA
Entity Type:Individual
Prefix:
First Name:OLUWATOYIN
Middle Name:VICTORIA
Last Name:ADULOJU-ODUNAIYA
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 1:1320 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1822
Mailing Address - Country:US
Mailing Address - Phone:220-564-4027
Mailing Address - Fax:
Practice Address - Street 1:1272 W MAIN ST STE 503
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2058
Practice Address - Country:US
Practice Address - Phone:220-564-1805
Practice Address - Fax:220-564-1806
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16800-NP363LF0000X
OHAPRN.CNP.16800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily