Individual
MOPELOLA BANKOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
727 N 120TH ST, OMAHA, NE 68154-4212
(402) 493-2100
Mailing address
7557 S 32ND ST, LINCOLN, NE 68516-4884
(520) 709-3837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115437
NE
Other
Enumeration date
08/01/2024
Last updated
09/25/2024
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