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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN285470 (GA)

Family Nurse Practitioner: Definition to come...

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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.