Latifat Bolajoko Asemota, FNP
Nurse Practitioner, Primary Care in Marietta, GA. Individual provider (NPI-1).
NPI number1275918781
StatusActive
Last updated in NPPESJul 13, 2018
Details
- NPI
- 1275918781
- Entity type
- Individual (NPI-1)
- Name
- Latifat Bolajoko Asemota
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2015
- Last updated
- Jul 13, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | RN218849 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 218849 | GA |
Practice location
410 Nottingham DrMarietta, GA 30066
Phone 678-401-8229
Mailing address
410 Nottingham DrMarietta, GA 30066-2542
Phone 678-401-8229
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