Individual provider · Type 1 NPI

Bukola Deborah Olusanya

Family Nurse Practitioner · Los Angeles, CA

NPI number 1598113441 Active

Practice location

808 W 58th St
Los Angeles, CA 90037-3632

Fax (323) 541-1499

Mailing address

960 W 62nd Pl, Apt. 243
Los Angeles, CA 90044-5474

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95004381 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1598113441

Bukola Deborah Olusanya's National Provider Identifier is 1598113441, issued on Jun 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 6, 2016.