Individual
OLUWASEUN OMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1915 E CHANDLER BLVD STE 1, CHANDLER, AZ 85225-5117
(623) 335-2390
Mailing address
1915 E CHANDLER BLVD STE 1, CHANDLER, AZ 85225-5117
(623) 335-2390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN183690
AZ
363LF0000X
Family Nurse Practitioner
Primary
272897
AZ
Other
Enumeration date
05/07/2021
Last updated
03/24/2022
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