Individual
FOLASHADE O ODEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 455-3047
(434) 948-4918
Mailing address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 455-3047
(434) 948-4918
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024166577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
Enumeration date
06/12/2006
Last updated
11/14/2011
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