Individual
OMOTAYO KEHINDE ONANUBOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12324 S ABBOTT DOWNING WAY, NAMPA, ID 83686-5693
(208) 283-7062
Mailing address
12324 S ABBOTT DOWNING WAY, NAMPA, ID 83686-5693
(208) 283-7062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019011415
ID
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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