Individual provider · Type 1 NPI
Olitha Jamesetta Fofana, AGPCNP-BC
Adult Health Nurse Practitioner · Champlin, MN
NPI number
1013301407
Active
Practice location
10911 Rhode Island Cir N
Champlin, MN 55316-3256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | CNP 3783 (MN) |
| Gerontology Nurse Practitioner | 363LG0600X | CNP 3783 (MN) |
| Primary Care Nurse Practitioner | 363LP2300X | CNP 3783 (MN) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1013301407
Olitha Jamesetta Fofana, AGPCNP-BC's National Provider Identifier is 1013301407, issued on Mar 24, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Champlin, MN. The record was last updated on Mar 24, 2015.