Provider Demographics
NPI:1316238389
Name:ADENIYI, OLUWATOYIN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:OLUWATOYIN
Middle Name:
Last Name:ADENIYI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 STILES DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4536
Mailing Address - Country:US
Mailing Address - Phone:469-951-9274
Mailing Address - Fax:817-477-9441
Practice Address - Street 1:508 STILES DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4536
Practice Address - Country:US
Practice Address - Phone:469-951-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily