Abejide Olufunke Fawole in Bloomington - Nurse Practitioner
Abejide Olufunke Fawole - NPI 1497939565
Abejide Olufunke Fawole is a Nurse Practitioner in Bloomington, Minnesota. Abejide Olufunke Fawole practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Abejide Olufunke Fawole is 1497939565. The last update date is 2020-07-23.
Abejide Olufunke Fawole's current location address is 8170 33rd Ave S, Bloomington, Minnesota. You can contact this provider via phone number 9528836805. The mailing address for Abejide Olufunke Fawole is 8170 33rd Ave S, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abejide Olufunke Fawole |
|---|---|
| Address | 8170 33rd Ave S, Bloomington, Minnesota |
| Phone Number | 9528836805 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1497939565 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2020-07-23 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 9528836805 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1067 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Abejide Olufunke Fawole by the Centers for Medicare & Medicaid Services?
The Abejide Olufunke Fawole has been issued the NPI (National Provider Identifier) 1497939565 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Abejide Olufunke Fawole's facilities are situated?
The facilities of Abejide Olufunke Fawole are physically located at the following address: 8170 33Rd Ave S, Bloomington, MN, 554254516.
What is Abejide Olufunke Fawole's specialized field of practice, and what is the corresponding taxonomy classification code?
The Abejide Olufunke Fawole's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did Abejide Olufunke Fawole receive its 1497939565 assignment from the Centers for Medicare & Medicaid Services?
The Abejide Olufunke Fawole was assigned its 1497939565 on 2007-12-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Abejide Olufunke Fawole most recently updated or revised?
The details related to Abejide Olufunke Fawole, including its address, specialty, and other relevant information, were last updated or revised on 2020-07-23.
NPI Number: 1972504124
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