Provider Demographics
NPI:1427340512
Name:ADENIYI, FOLAKE ROSE (RN)
Entity type:Individual
Prefix:MRS
First Name:FOLAKE
Middle Name:ROSE
Last Name:ADENIYI
Suffix:
Gender:F
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:N97W14981 BURNING BUSH CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-6628
Mailing Address - Country:US
Mailing Address - Phone:262-251-7229
Mailing Address - Fax:
Practice Address - Street 1:N97W14981 BURNING BUSH CT
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-6628
Practice Address - Country:US
Practice Address - Phone:262-251-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5778363LP2300X
WI104742163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care