Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 78306 | KS |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 78306 | KS |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP138134 | TX |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 78306 | KS |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 841535 | NV |
NPI | 1003301953 |
---|---|
Provider Name | Mr. Oluwafemi Oyewole |
First Address | Las Vegas, NV 89102-7810 |
Second Address | Las Vegas, NV 89102-7810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2018 |
Last Update Date | 18/08/2021 |