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Individual
TIWALADE OLAWUYI
Active
Individual
TIWALADE OLAWUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
193864
GA
363LF0000X
Family Nurse Practitioner
Primary
RN193864NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110136B
—
GA
01
—
RN193864
RN
GA
01
—
RN193864NP
NP LICENSE
GA
Enumeration date
06/17/2011
Last updated
12/14/2016
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