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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11001697 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | ADVANCED PRACTICE REGISTERED NURSE LICENSE | APRN11001697 | 01 |
Street Address |
2604 TORINO WAY |
City | ST AUGUSTINE |
State | FL |
Zip Code | 32092-4784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
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 |
Find all providers in zip 32092 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in ST AUGUSTINE |
City | ST AUGUSTINE |
Zip Code | 32092 |
Please comment or provide details below to improve the information on FOLASADE SANUSI OLUSHOLA.
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.