Healthcare Provider Details

I. General information

NPI: 1710773973
Provider Name (Legal Business Name): ONAOLAPO OLORUNFEMI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N HILLSIDE ST STE B
WICHITA KS
67214-4915
US

IV. Provider business mailing address

10011 E MORRIS ST
WICHITA KS
67207-3970
US

V. Phone/Fax

Practice location:
  • Phone: 832-419-0215
  • Fax:
Mailing address:
  • Phone: 316-371-3051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number14-158674-112
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: