person
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC
Primary Care Nurse Practitioner in Champlin, Minnesota
NPI 1013301407

Olitha Jamesetta Fofana is a Primary Care Nurse Practitioner based in Champlin, MN and is specialized in Primary Care. Olitha Jamesetta Fofana practices in Champlin, MN and has the professional credentials of AGPCNP-BC. The NPI Number for Olitha Jamesetta Fofana is 1013301407 and holds a License No. CNP 3783 (Minnesota).

The current practice location address for Olitha Jamesetta Fofana is 10911 Rhode Island Cir N, Champlin, MN and can be reached out via phone at 763-493-2947.

Location: 10911 Rhode Island Cir N, Champlin, MN, 55316-3256
person
Provider Profile Details
NPI Number
1013301407
Provider Name
Olitha Jamesetta Fofana
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10911 Rhode Island Cir N, Champlin, MN, 55316-3256
Phone Number
763-493-2947
Fax Number
Provider Enumeration Date
03/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10911 Rhode Island Cir N
City
State
Zip
55316-3256
Phone Number
763-493-2947
Fax Number
person
Provider Business Mailing Address Details
Address
10911 Rhode Island Cir N
City
State
Zip
55316-3256
Phone Number
763-493-2947
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
CNP 3783 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
CNP 3783 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
CNP 3783 (Minnesota)
Definition
Definition to come...
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