Individual
OLABISI YEMISI FAJANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8435 KEYSTONE XING STE 210, INDIANAPOLIS, IN 46240-4357
(847) 515-1505
Mailing address
816 SUNVISTA DR, AVON, IN 46123-6541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F02181052
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F02181052
INDIANA NP LICENSE
IN
Enumeration date
08/16/2018
Last updated
08/16/2018
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