Individual provider · NPI-1

Ololade Ayomide Adekoya, DNP, PMHNP

Nurse Practitioner, Psych/Mental Health · Glen Burnie, MD

NPI number1144686569

StatusActive

Last updated in NPPESFeb 14, 2025

Details

NPI: 1144686569
Entity type: Individual (NPI-1)
Name: Ms. Ololade Ayomide Adekoya
Credential: DNP, PMHNP
Sex: Female
Sole proprietor: Yes
Enumeration date: Jan 14, 2016
Certification date: Feb 14, 2025
Last updated: Feb 14, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	R200359	MD	Yes
363LF0000X	Nurse Practitioner, Family	R200359	MD
363LP0808X	Nurse Practitioner, Psych/Mental Health	0024176595	VA

Practice location

7845 Oakwood Rd Ste 205
Glen Burnie, MD 21061-4257

Phone 240-223-0633

Mailing address

7845 Oakwood Rd Ste 205
Glen Burnie, MD 21061-4257

Phone 240-223-0633

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