Healthcare Provider Details

I. General information

NPI: 1023927373
Provider Name (Legal Business Name): ENIOLA OYINLOLA AYODELE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

18008 COTTAGE GARDEN DR APT 102
GERMANTOWN MD
20874-5820
US

V. Phone/Fax

Practice location:
  • Phone: 240-234-6586
  • Fax:
Mailing address:
  • Phone: 240-234-6586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP500023426
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: