Individual
OLUWASEUN MODUPE ONIFADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-0980
Mailing address
8704 MONTERY RD, INDIANAPOLIS, IN 46226-5550
(317) 332-9667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016191A
IN
363LP2300X
Primary Care Nurse Practitioner
71016191A
IN
Other
Enumeration date
01/04/2025
Last updated
07/10/2025
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