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Individual

FUNMILAYO OLUWOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2400 W DUNLAP AVE STE 124, PHOENIX, AZ 85021-2813
(801) 369-8989
(801) 704-9741
Mailing address
2400 W DUNLAP AVE STE 124, PHOENIX, AZ 85021-2813
(801) 369-8989
(801) 704-9741

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R156972
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
271514
AZ

Other

Enumeration date
03/24/2017
Last updated
03/01/2023
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