Healthcare Provider Details

I. General information

NPI: 1760917827
Provider Name (Legal Business Name): TOYIN OLADELE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 SALY RD
YARDLEY PA
19067-1979
US

IV. Provider business mailing address

397 SALY RD
YARDLEY PA
19067-1979
US

V. Phone/Fax

Practice location:
  • Phone: 267-968-9703
  • Fax:
Mailing address:
  • Phone: 267-342-1992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00713500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00713500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: