Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idriss Owolabi Ayelara

Individual provider Gerontology Registered Nurse · NPI 1720715303

Idriss Owolabi Ayelara is a Gerontology Registered Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence 2011000692 (MO)

Record details

NPI number1720715303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

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