FOLASADE SANUSI OLUSHOLA


Address: 2604 Torino Way, St Augustine, FL 32092-4784
Phone: 9042341837

FOLASADE SANUSI OLUSHOLA (NPI# 1023576360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023576360
Entity Type Individual
Full Name FOLASADE SANUSI OLUSHOLA
Credential APRN
Practice Address 2604 Torino Way
St Augustine
FL 32092-4784
Practice Telephone 9042341837
Mailing Telephone 9042341837
Enumeration Date 2019-03-06
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN11001697 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL ADVANCED PRACTICE REGISTERED NURSE LICENSE APRN11001697 01

Office Location

Street Address 2604 TORINO WAY
City ST AUGUSTINE
State FL
Zip Code 32092-4784

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1124670146 Kaitlyn Thomas Speech-Language Pathologist 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 2019-07-10
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1649702291 Leonard Volpe Physician Assistant 745 Porta Rosa Cir, St Augustine, FL 32092 2017-04-03
1740630425 Sierra Danielle Shultz Behavioral Analyst 2590 C H Arnold Rd, Saint Augustine, FL 32092 2016-06-14
1023467347 Marylin Palackel James Family Medicine 110 Hampton Point Dr, St Augustine, FL 32092 2016-06-07
1790146462 Florida Autism Center Community/Behavioral Health 124 Capulet Drive, St Augustine, FL 32092 2016-03-09
1174901458 Kaylan Brady Pediatrics 70 Turin Terrace, Suite 220, St Augustine, FL 32092 2015-05-07
1245620368 Angela Sanchez Physician Assistant 229 Adelanto Ave, St Augustine, FL 32092 2015-01-27
1053723700 David Hamilton Dentist 149 Tuscan Way, St. Augustine, FL 32092 2014-05-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356948871 Rachel Annette Tax Nurse Practitioner 325 Sunset Dr, St Augustine, FL 32080-9101 2020-10-07
1386260354 Kristina Marie Hanlon Nurse Practitioner 119 Old Field Ln, St Augustine, FL 32092-1928 2020-06-24
1356977888 Carol Christine Sickels Nurse Practitioner 206 Circle Dr E, St Augustine, FL 32084-0868 2020-03-16
1518501832 Amanda Allen Nurse Practitioner 6936 Cypress Spring Ct, St Augustine, FL 32086-4818 2019-10-30
1326502600 Ashley Fisher Roussell Nurse Practitioner 2720 Us Highway 1 S Ste B, St Augustine, FL 32086-6371 2019-01-30
1336658103 Nena Sheryl Morden Nurse Practitioner 100 Whetstone Pl Ste 205, St Augustine, FL 32086-5775 2017-09-25
1245770742 Linda Gillis Nurse Practitioner 143 Portada Dr, St Augustine, FL 32095-1634 2017-03-02
1457779316 Candace Smith Nurse Practitioner 2513 Otter Totem Ct, St Augustine, FL 32092-2445 2014-03-28
1720328321 Sharon Lynn Steinmetz Nurse Practitioner 6170 A1a S Unit 304, St Augustine, FL 32080-7537 2013-02-20
1881958783 Holly Beth Doucette Nurse Practitioner 74 King St, Health Services, St Augustine, FL 32084-4342 2012-06-26
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Competitor

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City ST AUGUSTINE
Zip Code 32092

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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