Individual provider · Type 1 NPI

Abejide Olufunke Fawole, CNP

Nurse Practitioner · Minneapolis, MN

NPI number 1497939565 Active

Practice location

4730 Chicago Ave
Minneapolis, MN 55407-3570

Mailing address

8170 33rd Ave S
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1067 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497939565

Abejide Olufunke Fawole, CNP's National Provider Identifier is 1497939565, issued on Dec 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 23, 2020.