Provider Demographics
NPI:1679934574
Name:OLADAPO, SELINA
Entity type:Individual
Prefix:
First Name:SELINA
Middle Name:
Last Name:OLADAPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 MARLBOROUGH CT
Mailing Address - Street 2:APT H
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1543
Mailing Address - Country:US
Mailing Address - Phone:859-462-8328
Mailing Address - Fax:
Practice Address - Street 1:2316 MARLBOROUGH CT
Practice Address - Street 2:APT H
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1543
Practice Address - Country:US
Practice Address - Phone:859-462-8328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-19
Last Update Date:2016-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.378969163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse