Provider Demographics
NPI:1154998219
Name:OLAPADE, FUNMILOLA A
Entity type:Individual
Prefix:
First Name:FUNMILOLA A
Middle Name:
Last Name:OLAPADE
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 1:3306 DUBOIS PL SE APT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2452
Mailing Address - Country:US
Mailing Address - Phone:240-470-8109
Mailing Address - Fax:
Practice Address - Street 1:3306 DUBOIS PL SE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2452
Practice Address - Country:US
Practice Address - Phone:240-470-8109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide