Individual
MUSTAPHA TAIWO OLORUNNIMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 628-6990
(804) 628-6932
Mailing address
301 KARL LINN DR APT 317, NORTH CHESTERFIELD, VA 23225-6975
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177380
VA
367500000X
Certified Registered Nurse Anesthetist
RN290655
GA
Other
Enumeration date
12/21/2018
Last updated
07/21/2023
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