Individual
SHAUNDELLE ANN OLUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1060 S BISHOP AVE, ROLLA, MO 65401-4411
(573) 426-5900
(573) 426-4466
Mailing address
1060 S BISHOP AVE, ROLLA, MO 65401-4411
(573) 426-5900
(573) 426-4466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003014072
MO
Other
Enumeration date
06/14/2007
Last updated
04/15/2016
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