Provider Demographics
NPI:1366311821
Name:BABALOLA, ABIMBOLA OLUWOLE (RN)
Entity type:Individual
Prefix:MR
First Name:ABIMBOLA
Middle Name:OLUWOLE
Last Name:BABALOLA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 GREENSPRING AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3278
Mailing Address - Country:US
Mailing Address - Phone:410-775-6588
Mailing Address - Fax:
Practice Address - Street 1:6318 GREENSPRING AVE APT 306
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3278
Practice Address - Country:US
Practice Address - Phone:410-775-6588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR259180163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse