Provider Demographics
NPI:1780341834
Name:ASHAYE, ABIMBOLA OYEBOWALE (RN)
Entity type:Individual
Prefix:
First Name:ABIMBOLA
Middle Name:OYEBOWALE
Last Name:ASHAYE
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 1:7682 MANDAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2165
Mailing Address - Country:US
Mailing Address - Phone:240-883-4454
Mailing Address - Fax:
Practice Address - Street 1:7682 MANDAN RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2165
Practice Address - Country:US
Practice Address - Phone:240-883-4454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1058927163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health