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NPI Code Detail

MEDICARE: EBUNOLUWA ADEWUMI OSARA

MEDICARE: EBUNOLUWA ADEWUMI OSARA
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 Practitioner211713AK

General Provider Information

NPI Number : 1528740693
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBUNOLUWA ADEWUMI OSARA
Provider Business Mailing Address
First Line : 1569 BRAGAW ST STE 102
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3102
Country : US
Telephone Number : 907-302-3006
Fax Number : 800-603-9571
Provider Business Practice Location Address
First Line : 1577 C ST STE 104
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-5127
Country : US
Telephone Number : 907-222-2448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 11/26/2025

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Directions to “ EBUNOLUWA ADEWUMI OSARA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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