Individual
ADETUTU DUPE OLATAWURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, WHNP-BC
Contact information
Practice address
601 S WESTMORELAND AVE, LOS ANGELES, CA 90005-3902
(213) 738-7283
(909) 494-7684
Mailing address
601 S WESTMORELAND AVE, LOS ANGELES, CA 90005-3902
(213) 738-7283
(909) 494-7684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95159863
CA
363L00000X
Nurse Practitioner
95028268
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95028268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95028268
NURSE PRACTITIONER LICENSE NUMBER
CA
01
—
95159863
REGISTERED NURSE LICENSE NUMBER
CA
Enumeration date
12/18/2023
Last updated
12/18/2023
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