Individual
OMOLARA FYLE THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6873 CULPEPER CT, FLORISSANT, MO 63033-5210
(314) 653-0011
Mailing address
6873 CULPEPER CT, FLORISSANT, MO 63033-5210
(314) 653-0011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP07836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490684
—
OH
Enumeration date
03/16/2006
Last updated
07/08/2007
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