Provider Demographics
NPI:1093501561
Name:SOARES, CAROLINE ADEDOYIN
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ADEDOYIN
Last Name:SOARES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 ANNAPOLIS RD APT 709
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2013
Mailing Address - Country:US
Mailing Address - Phone:202-848-6337
Mailing Address - Fax:
Practice Address - Street 1:5800 ANNAPOLIS RD APT 709
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2013
Practice Address - Country:US
Practice Address - Phone:202-848-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200004048376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide