Individual
OLAMIDE ENITAN LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(877) 564-3627
Mailing address
5697 GREEN CIRCLE DR APT 205, MINNETONKA, MN 55343-9644
(612) 481-6193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6606
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
6606
MN
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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