Individual
NANA FAJUGBAGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1216 E KENOSHA ST # 320, BROKEN ARROW, OK 74012-2007
(918) 744-3131
Mailing address
10218 S 229TH EAST AVE, BROKEN ARROW, OK 74014-6268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209705
OK
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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