Provider Demographics
NPI:1740825413
Name:TOBY, OLAYINKA O (CRNP)
Entity type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:O
Last Name:TOBY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:OLAYINKA
Other - Middle Name:O
Other - Last Name:MOSES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP PMHNP
Mailing Address - Street 1:40 WINDBLUFF CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2471
Mailing Address - Country:US
Mailing Address - Phone:410-497-4237
Mailing Address - Fax:
Practice Address - Street 1:40 WINDBLUFF CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2471
Practice Address - Country:US
Practice Address - Phone:410-497-4237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177381163W00000X, 163WH0200X, 364SP0812X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No364SP0812XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Community