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NPI Code Detail

MEDICARE: MS. OLUWAFUNMILOLA O SULAIMON NP

MEDICARE: MS. OLUWAFUNMILOLA O SULAIMON NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN242830GA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95019936CA

General Provider Information

NPI Number : 1992330492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. OLUWAFUNMILOLA O SULAIMON NP
Provider Business Mailing Address
First Line : 75 WASHINGTON ST
Second Line :
City : FAIRBURN
State : GA
Zip : 30213-3626
Country : US
Telephone Number : 310-971-4760
Fax Number :
Provider Business Practice Location Address
First Line : 14541 DELANO ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2820
Country : US
Telephone Number : 916-220-6803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2020
Last Update Date : 12/12/2025

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