Provider Demographics
NPI:1568136588
Name:AWOUVI, ADJOVI ODILONE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ADJOVI
Middle Name:ODILONE
Last Name:AWOUVI
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9636 KANFER CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5065
Mailing Address - Country:US
Mailing Address - Phone:301-852-1662
Mailing Address - Fax:
Practice Address - Street 1:18310 MONTGOMERY VILLAGE AVE STE 300-G63
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3551
Practice Address - Country:US
Practice Address - Phone:240-220-9309
Practice Address - Fax:240-262-5202
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF07210805363LF0000X, 207N00000X
VA0024190683207N00000X
DCNP1057201207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily