Individual
ABIOLA AWENI BABALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-4005
(717) 812-2495
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012629
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619013
GATEWAY MEDICARE ASSURED
PA
01
—
2862260
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
01/09/2013
Last updated
06/10/2016
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