Individual
MR. ADESHOLA A AFOLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
13861 OLIO RD, FISHERS, IN 46037-3487
(317) 415-9000
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28204676A
IN
163W00000X
Registered Nurse
578768-1
NY
363LF0000X
Family Nurse Practitioner
Primary
71004455A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201176490
—
IN
01
—
P01347689
MEDICARE RR PTAN
IN
Enumeration date
09/22/2010
Last updated
09/18/2018
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