Mrs. Olutoyin Ekundayo
Nurse Practitioner - Gerontology
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
Mrs. Olutoyin Ekundayo
Nurse Practitioner - Gerontology
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
(215) 707-0943
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Olutoyin Ekundayo
- 2450 W Hunting Park Ave
- Philadelphia, PA
- Zip : 19129-1302
- Fax : (215) 707-0943
- Phone : (215) 707-1622
Second Address
- Mrs. Olutoyin Ekundayo
- 3401 N Broad St
- Philadelphia, PA
- Zip : 19140-5103
- Fax : (215) 707-0943
- Phone : (215) 707-1622
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | SP016699 | PA |
National Provider Identifier
| NPI | 1053862292 |
|---|---|
| Provider Name | Mrs. Olutoyin Ekundayo |
| First Address | Philadelphia, PA 19129-1302 |
| Second Address | Philadelphia, PA 19140-5103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2016 |
| Last Update Date | 10/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.