Individual provider · Type 1 NPI

Tiwalade Olawuyi, NP

Family Nurse Practitioner · Marietta, GA

NPI number 1114212115 Active

Practice location

811 Kennesaw Ave NW
Marietta, GA 30060-1002

Fax (770) 499-8460

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN193864NP (GA)
Nurse Practitioner 363L00000X193864 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114212115

Tiwalade Olawuyi, NP's National Provider Identifier is 1114212115, issued on Jun 17, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on Dec 14, 2016.