Provider Demographics
NPI:1992262711
Name:AKINLUA, ORITSEWEYINMI AGHOGHO (FNP)
Entity type:Individual
Prefix:MRS
First Name:ORITSEWEYINMI
Middle Name:AGHOGHO
Last Name:AKINLUA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ORITSEWEYINMI
Other - Middle Name:AGHOGHO
Other - Last Name:ONOSODE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7414 GOSSAMER ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-5197
Mailing Address - Country:US
Mailing Address - Phone:248-303-5217
Mailing Address - Fax:
Practice Address - Street 1:222 N PACIFIC COAST HWY STE 1420
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5648
Practice Address - Country:US
Practice Address - Phone:877-878-3289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT205331363LF0000X
KYF07171778363LF0000X
LA229707363LF0000X
NJ26NJ01475700363LF0000X
MA2378969363LF0000X
NH091148-23363LF0000X
VA0024186016363LF0000X
GARN255357363LF0000X
NYF351777-01363LF0000X
SC23462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN255357OtherSTATE OF GEORGIA BOARD OF NURSING
FLAPRN11004869OtherFLORIDA BOARD OF NURSING