MEDICARE: FUNMILAYO OLUWOLE FNP

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
1	363LF0000X	Family Nurse Practitioner	R156972	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	271514	AZ

General Provider Information

NPI Number	:	1780115345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FUNMILAYO OLUWOLE FNP

Provider Business Mailing Address
First Line	:	2400 W DUNLAP AVE STE 124
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2813
Country	:	US
Telephone Number	:	801-369-8989
Fax Number	:	801-704-9741

Provider Business Practice Location Address
First Line	:	2400 W DUNLAP AVE STE 124
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2813
Country	:	US
Telephone Number	:	801-369-8989
Fax Number	:	801-704-9741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	03/01/2023

Similar Medicare Providers

1033041363 — ALLYSON SPEARS
Practice Location Address:

2400 W DUNLAP AVE STE 124
PHOENIX, AZ
85021-2813

Practice Phone: 602-850-2445
Practice Fax:

1194804690 — PHYSIOTHERAPY ASSOCIATES INC
Practice Location Address:

2400 W DUNLAP AVE , SUITE 145
PHOENIX, AZ
85021-2813

Practice Phone: 602-870-1414
Practice Fax: 602-870-4141

1275605727 — MR. BRIAN PAUL DOORLEY PT
Practice Location Address:

2400 W DUNLAP AVE STE 145
PHOENIX, AZ
85021-2813

Practice Phone: 602-870-1414
Practice Fax: 602-870-4141

1386052454 — SHIRAN ASULIN
Practice Location Address:

2400 W DUNLAP AVE STE 100
PHOENIX, AZ
85021-2813

Practice Phone: 480-372-2130
Practice Fax:

1295135432 — DR. JENNIFER FOWLER PSYD
Practice Location Address:

2400 W DUNLAP AVE STE 124
PHOENIX, AZ
85021-2813

Practice Phone: 801-369-8989
Practice Fax: 801-704-9741

1508224650 — JAMIE LEE ALEXANDER PT, DPT, ATC
Practice Location Address:

2400 W DUNLAP AVE STE 145
PHOENIX, AZ
85021-2813

Practice Phone: 602-870-1414
Practice Fax:

Directions to “ FUNMILAYO OLUWOLE FNP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.