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Omoniyi Tunde Modupe, DNP-CRNA
Certified Registered Nurse Anesthetist in Philadelphia, Pennsylvania
NPI 1942972690

Omoniyi Tunde Modupe is a Certified Registered Nurse Anesthetist based in Collegeville, PA. Omoniyi Tunde Modupe practices in Philadelphia, PA and has the professional credentials of DNP-CRNA. The NPI Number for Omoniyi Tunde Modupe is 1942972690 and holds a License No. RN685335 (Pennsylvania).

The current practice location address for Omoniyi Tunde Modupe is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-2000.

Location: 3401 N Broad St, Philadelphia, PA, 19426-2070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942972690
Provider Name
Omoniyi Tunde Modupe
Credential
DNP-CRNA
Provider Entity Type
Individual
Gender
Male
Address
3401 N Broad St, Philadelphia, PA, 19426-2070
Phone Number
215-707-2000
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5103
Phone Number
215-707-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5103
Phone Number
215-707-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
RN685335 (Pennsylvania)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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