Odedina, Folashade O

Odedina, Folashade O is an individual health care provider with primary practice located at 2215 Langhorne Rd Suite 104, Lynchburg VA 24501-1121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Odedina, Folashade O can be contacted via phone (434) 455-3047.

Contact Information

Primary practice address
2215 Langhorne Rd Suite 104 Lynchburg VA 24501-1121
Fax: (434) 948-4918
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024166577 Virginia

Profile Details

NPI number 1407898687
LBN Legal business name Odedina, Folashade O
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407898687 NPPES
Virginia MEDICAID 004945441

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