Provider Demographics
NPI:1427755388
Name:OLAOYE, IDOWU OMOROTOLA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:IDOWU
Middle Name:OMOROTOLA
Last Name:OLAOYE
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16107 KENSINGTON DR # 173
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4224
Mailing Address - Country:US
Mailing Address - Phone:281-667-9289
Mailing Address - Fax:281-783-2832
Practice Address - Street 1:7737 SOUTHWEST FWY STE 965
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1806
Practice Address - Country:US
Practice Address - Phone:281-667-9289
Practice Address - Fax:281-783-2832
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1110701363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health