Provider Demographics
NPI:1982926481
Name:OYEBANJO, REMI ADEYEMI (LPN)
Entity Type:Individual
Prefix:MRS
First Name:REMI
Middle Name:ADEYEMI
Last Name:OYEBANJO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 WYOMING ST APT D
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410-2942
Mailing Address - Country:US
Mailing Address - Phone:937-838-2226
Mailing Address - Fax:
Practice Address - Street 1:2460 WYOMING ST APT D
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410-2942
Practice Address - Country:US
Practice Address - Phone:937-838-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH138318164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse