Individual
OLUWATOYIN ALABA FADEYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-4131
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015648
NC
363LA2100X
Acute Care Nurse Practitioner
5015648
NC
Other
Enumeration date
01/20/2022
Last updated
02/03/2022
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