Olasumbo Fadiya, RN
Nurse Practitioner, Adult Health in Mattapan, MA. Individual provider (NPI-1).
NPI number1033656160
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1033656160
- Entity type
- Individual (NPI-1)
- Name
- Olasumbo Fadiya
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | RN261159 | MA | Yes |
Practice location
7 Cragmere TerApt. #1
Mattapan, MA 02126-2508
Phone 617-407-5875
Mailing address
7 Cragmere TerApt. #1
Mattapan, MA 02126-2508
Phone 617-407-5875
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