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NPI Code Detail

MEDICARE: ITUNUOLUWA ALAO FNP-BC

MEDICARE: ITUNUOLUWA ALAO FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN1025297DC

General Provider Information

NPI Number : 1497002836
Entity Type Code : Individual
Provider Name (Legal Business Name) : ITUNUOLUWA ALAO FNP-BC
Provider Business Mailing Address
First Line : 521 N QUINCY ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-2136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 845 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-3927
Country : US
Telephone Number : 202-247-6551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2012
Last Update Date : 10/14/2017

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