Individual
OPEOLU 0 FAWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10999 REED HARTMAN HWY STE 210, BLUE ASH, OH 45242-8301
(678) 855-1226
Mailing address
10999 REED HARTMAN HWY STE 210, BLUE ASH, OH 45242-8301
(678) 855-1226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
364055
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029316
OH
Other
Enumeration date
05/23/2016
Last updated
07/29/2021
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