Individual provider · Type 1 NPI
Modupeola Ololade Fakunle, RN
Home Health Registered Nurse · Lithonia, GA
NPI number
1861972960
Active
Practice location
6987 Dalehollow Dr
Lithonia, GA 30058-7022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN172123 (GA) |
| Home Health Registered Nurse Primary | 163WH0200X | RN172123 (GA) |
Home Health Registered Nurse: Definition to come...
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About NPI 1861972960
Modupeola Ololade Fakunle, RN's National Provider Identifier is 1861972960, issued on Aug 17, 2018. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Lithonia, GA. The record was last updated on Aug 17, 2018.