Olubowale Fasola, LPN
Licensed Practical Nurse in Mount Vernon, New York
1851648596- Practice location
- 9 W Prospect Ave Ste 310, Mount Vernon, NY 10550-2049
- Phone
- 914-699-0022
- Fax
- —
- Last updated
- July 2, 2015
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 (NY). The current practice location address for Olubowale Fasola is 9 W Prospect Ave Ste 310, Mount Vernon, NY 10550-2049 and can be reached out via phone at 914-699-0022.
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
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 13, 2012
- Last Update Date
- July 2, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 W Prospect Ave Ste 310
Mount Vernon, NY 10550-2049 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-2049
- Phone Number
- 914-699-0022
Provider Business Mailing Address Details
- Address
- 9 W Prospect Ave Ste 310
Mount Vernon, NY 10550-2049 - City
- Mount Vernon
- State
- NY
- Zip
- 10550-2049
- Phone Number
- 914-699-0022
License Information
- License Number
- 299582
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Olubowale Fasola, LPN?
The NPI number of Olubowale Fasola, LPN is 1851648596. It was assigned on August 13, 2012 and is currently active in the NPPES registry.
What is the specialty of Olubowale Fasola, LPN?
Olubowale Fasola, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 299582.
Where does Olubowale Fasola, LPN practice?
The practice location is 9 W Prospect Ave Ste 310, Mount Vernon, NY 10550-2049. The office can be reached at 914-699-0022 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851648596 directly on the NPPES registry website.