Individual
MRS. OLAYEMI IBITAYO AGUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3067
(612) 904-4477
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3067
(612) 904-4477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R143808-2
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
1581
MN
Other
Enumeration date
02/12/2008
Last updated
09/24/2018
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