Healthcare Provider Details

I. General information

NPI: 1851707202
Provider Name (Legal Business Name): OLAYINKA OLUWABUKOLA LOWE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 OXFORD AVE
PLAINFIELD NJ
07062-2233
US

IV. Provider business mailing address

1245 OXFORD AVE
PLAINFIELD NJ
07062-2233
US

V. Phone/Fax

Practice location:
  • Phone: 908-447-1479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ005088000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: