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Omoniyi Fatai Mutiu, APRN
Family Nurse Practitioner in Duluth, Georgia
NPI 1396247359

Omoniyi Fatai Mutiu is a Family Nurse Practitioner based in Oakland Park, GA and is specialized in Family. Omoniyi Fatai Mutiu practices in Duluth, GA and has the professional credentials of APRN. The NPI Number for Omoniyi Fatai Mutiu is 1396247359 and holds a License No. ARNP9326452 (Georgia).

The current practice location address for Omoniyi Fatai Mutiu is 2055 Sugarloaf Cir Ste 575, Duluth, GA and can be reached out via phone at 404-999-7971.

Location: 2055 Sugarloaf Cir Ste 575, Duluth, GA, 33334-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396247359
Provider Name
Omoniyi Fatai Mutiu
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
2055 Sugarloaf Cir Ste 575, Duluth, GA, 33334-4400
Phone Number
404-999-7971
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024364200 05 FL
institution
Provider Business Practice Location Address Details
Address
2055 Sugarloaf Cir Ste 575
City
Duluth
State
Georgia
Zip
30097-9804
Phone Number
404-999-7971
Fax Number
person
Provider Business Mailing Address Details
Address
2055 Sugarloaf Cir Ste 575
City
Duluth
State
Georgia
Zip
30097-9804
Phone Number
404-999-7971
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9326452 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
ARNP9326452 (Florida)
Definition
Definition to come...
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