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Individual

MS. ADETUTU MOJISOLA SANDRA OGUNLEYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNM

Contact information

Practice address
3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4456
(910) 779-0780
Mailing address
3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4456
(910) 779-0780

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00710400
NJ
363LA2200X
Adult Health Nurse Practitioner
5021772
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5021772
NC
367A00000X
Advanced Practice Midwife
Primary
925
NM
367A00000X
Advanced Practice Midwife
AC004881
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0696532
NJ
05
119591300
MD
Enumeration date
03/01/2017
Last updated
03/04/2026
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