Olufemi Ogunlana I, SOLE PROPRIETOR

Individual provider Active NPI Registered Nurse · Obetz, OH

NPI 1104515006 · NPPES record last updated May 5, 2023

Key facts

NPI
1104515006
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.500890 (OH)
Practice address
1087 Gelbray Dr
Obetz, OH 43207-4998
Phone
(614) 230-5700
NPI assigned
May 5, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN.500890OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN.500890 OH
Registered Nurse 163W00000X RN.500890 OH Yes

Addresses

Primary practice location

1087 Gelbray Dr
Obetz, OH 43207-4998

Mailing address

1087 Gelbray Dr
Obetz, OH 43207-4998
Phone (614) 230-5700

Other providers in Obetz, OH

All providers in Obetz, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.