Individual provider · Type 1 NPI
Olufemi Olawale Fanusi
Family Nurse Practitioner · Stonecrest, GA
NPI number
1003561705
Active
Practice location
4202 Kensington Cir
Stonecrest, GA 30038-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN285470 (GA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Stonecrest
About NPI 1003561705
Olufemi Olawale Fanusi's National Provider Identifier is 1003561705, issued on Feb 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stonecrest, GA. The record was last updated on Feb 21, 2022.