Individual provider · NPI-1

Olusola R Akintola, NP

Nurse Practitioner, Family · Brick, NJ

NPI number1316688468
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1316688468
Entity type
Individual (NPI-1)
Name
Olusola R Akintola
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Apr 5, 2022
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ01290100NJYes

Practice location

210 Jack Martin Blvd # D1
Brick, NJ 08724-3063

Phone 732-458-5854 · Fax 732-458-8012

Mailing address

210 Jack Martin Blvd # D1
Brick, NJ 08724-3063

Phone 732-458-5854 · Fax 732-458-8012

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