Individual
BUKOLA F SHOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-PC
Contact information
Practice address
8517 KINGSTON ST, AVON, IN 46123-6018
(317) 772-9145
Mailing address
8517 KINGSTON ST, AVON, IN 46123-6018
(317) 772-9145
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28269810C
IN
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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