Provider Demographics
NPI:1447005582
Name:OLA, CAROLINE OLAYINKA
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:OLAYINKA
Last Name:OLA
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 1:10617 E 67TH ST APT 51
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2650
Mailing Address - Country:US
Mailing Address - Phone:918-995-9269
Mailing Address - Fax:
Practice Address - Street 1:10617 E 67TH ST APT 51
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2650
Practice Address - Country:US
Practice Address - Phone:918-995-9269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator