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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. OLUFEMI OLAWALE FANUSI

Active

MR. OLUFEMI OLAWALE FANUSI is a Family Nurse Practitioner healthcare provider located in STONECREST, Georgia. NPI 1003561705 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · STONECREST, GA

Registration Details

NPI Number
1003561705
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2022 (4.4562024304237 yrs)
Last Updated
Feb 21, 2022
License
RN285470 (GA)

Practice Information

Address
4202 KENSINGTON CIR
STONECREST, GA, 300383239
Browse GA providers · Browse ZIP 30038
Phone
6786809209
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in STONECREST, GA

Name Credential NPI
CELESTE DIAMOND BRYAN APRN 1083502983
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.