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Olubowale Fasola, LPN
Licensed Practical Nurse in Mount Vernon, New York
NPI 1851648596

Olubowale Fasola is a Licensed Practical Nurse based in Mount Vernon, NY. Olubowale Fasola practices in Mount Vernon, NY and has the professional credentials of LPN. The NPI Number for Olubowale Fasola is 1851648596 and holds a License No. 299582 (New York).

The current practice location address for Olubowale Fasola is 9 W Prospect Ave Ste 310, Mount Vernon, NY and can be reached out via phone at 914-699-0022.

Location: 9 W Prospect Ave Ste 310, Mount Vernon, NY, 10550-2049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851648596
Provider Name
Olubowale Fasola
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
9 W Prospect Ave Ste 310, Mount Vernon, NY, 10550-2049
Phone Number
914-699-0022
Fax Number
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9 W Prospect Ave Ste 310
City
Mount Vernon
State
New York
Zip
10550-2049
Phone Number
914-699-0022
Fax Number
person
Provider Business Mailing Address Details
Address
9 W Prospect Ave Ste 310
City
Mount Vernon
State
New York
Zip
10550-2049
Phone Number
914-699-0022
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
299582 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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