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Mofoluwa Amiyan
Nurse Practitioner in Richton Park, Illinois
NPI 1558787960

Mofoluwa Amiyan is a Nurse Practitioner based in Richton Park, IL. Mofoluwa Amiyan practices in Richton Park, IL. The NPI Number for Mofoluwa Amiyan is 1558787960 and holds a License No. 209011157 (Illinois).

The current practice location address for Mofoluwa Amiyan is 4512 Jefferson Dr, Richton Park, IL and can be reached out via phone at 708-244-7449.

Location: 4512 Jefferson Dr, Richton Park, IL, 60471-1852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558787960
Provider Name
Mofoluwa Amiyan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4512 Jefferson Dr, Richton Park, IL, 60471-1852
Phone Number
708-244-7449
Fax Number
Provider Enumeration Date
03/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213401409214100 05 IL
institution
Provider Business Practice Location Address Details
Address
4512 Jefferson Dr
City
Richton Park
State
Illinois
Zip
60471-1852
Phone Number
708-244-7449
Fax Number
person
Provider Business Mailing Address Details
Address
4512 Jefferson Dr
City
Richton Park
State
Illinois
Zip
60471-1852
Phone Number
708-244-7449
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209011157 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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