Healthcare Provider Details

I. General information

NPI: 1164769840
Provider Name (Legal Business Name): BOLANLE OLADOYIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 GEORGIA AVE NW STE 323
WASHINGTON DC
20012-1616
US

IV. Provider business mailing address

13104 BAR GEESE CT
UPPER MARLBORO MD
20774-7012
US

V. Phone/Fax

Practice location:
  • Phone: 202-723-3060
  • Fax:
Mailing address:
  • Phone: 240-705-6219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500342736
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: