Individual
OMORONKE ADEGBUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN161489
GA
363LF0000X
Family Nurse Practitioner
RN161498
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN161498
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486548249A
—
GA
Enumeration date
04/10/2007
Last updated
06/26/2018
Update your record
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