Individual
OMOLAYO TAIWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11939 RIVER HILLS DR, BURNSVILLE, MN 55337-1354
(651) 235-8198
Mailing address
11939 RIVER HILLS DR, BURNSVILLE, MN 55337-1354
(651) 235-8198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4793
MN
Other
Enumeration date
09/21/2016
Last updated
02/09/2023
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