Provider Demographics
NPI:1457772964
Name:OLAKOJO, FLORENCE (APRN)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:OLAKOJO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 STONEGATE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-2649
Mailing Address - Country:US
Mailing Address - Phone:860-713-3305
Mailing Address - Fax:860-528-2341
Practice Address - Street 1:580 BURNSIDE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3579
Practice Address - Country:US
Practice Address - Phone:860-528-5068
Practice Address - Fax:860-528-2341
Is Sole Proprietor?:No
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005519363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily