Provider Demographics
NPI:1962996959
Name:AJAKAYE, BOLARINWA JOSHUA (RN)
Entity type:Individual
Prefix:
First Name:BOLARINWA
Middle Name:JOSHUA
Last Name:AJAKAYE
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 1:209 63RD DR E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-7663
Mailing Address - Country:US
Mailing Address - Phone:941-932-0318
Mailing Address - Fax:
Practice Address - Street 1:209 63RD DR E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-7663
Practice Address - Country:US
Practice Address - Phone:941-932-0318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9398655163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health