Provider Demographics
NPI:1174957377
Name:DAVIES, OLAYINKA
Entity type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:
Last Name:DAVIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1269
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20768-1269
Mailing Address - Country:US
Mailing Address - Phone:301-221-7861
Mailing Address - Fax:
Practice Address - Street 1:3500 KINGSLEY CT
Practice Address - Street 2:UNIT B
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-6654
Practice Address - Country:US
Practice Address - Phone:301-221-7861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-25
Last Update Date:2013-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide