Individual
MRS. OLUBUNMI TINA AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN174210
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN174210
ADVANCED PRACTICE LICENSE
GA
Enumeration date
06/23/2020
Last updated
06/23/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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