Individual
KATHERINE OMOLARA ADELUFOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN9310377
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9310377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015679600
—
FL
01
—
04N17
BLUE CROSS BLUE SHIELD
FL
01
—
L7288
MEDICARE
FL
Enumeration date
06/17/2014
Last updated
09/19/2025
Update your record
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