Abimbola Vivian Olanrewaju, FNP-C
Nurse Practitioner, Family in Newark, NJ. Individual provider (NPI-1).
NPI number1669956579
StatusActive
Last updated in NPPESSep 18, 2018
Details
- NPI
- 1669956579
- Entity type
- Individual (NPI-1)
- Name
- Abimbola Vivian Olanrewaju
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2018
- Last updated
- Sep 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00834700 | NJ | Yes |
Practice location
205 S Orange AveNewark, NJ 07103-2785
Phone 973-972-1077
Mailing address
2710 Verona AveLinden, NJ 07036-5121
Phone 973-399-2848
Other practice locations
201 Lyons Ave
Newark, NJ 07112-2027
Newark, NJ 07112-2027
Phone 973-926-7000
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