Individual provider · Type 1 NPI
Daud Biola Koleosho
Primary Care Nurse Practitioner · Tempe, AZ
NPI number
1962093781
Active
Practice location
1840 E Baseline Rd Ste A1
Tempe, AZ 85283-1527
Fax (877) 666-4624
Mailing address
PO Box 308
Queen Creek, AZ 85142-1806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 253415 (AZ) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 253415 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1962093781
Daud Biola Koleosho's National Provider Identifier is 1962093781, issued on Feb 3, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tempe, AZ. The record was last updated on Mar 16, 2021.