Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. OLITHA JAMESETTA FOFANA, AGPCNP-BC
ActiveMRS. OLITHA JAMESETTA FOFANA, AGPCNP-BC is a Adult Health Nurse Practitioner healthcare provider located in CHAMPLIN, Minnesota. NPI 1013301407 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · CHAMPLIN, MN
Registration Details
- NPI Number
- 1013301407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2015 (11.349406470877 yrs)
- Last Updated
- Mar 24, 2015
- Licenses
-
CNP 3783 (MN)CNP 3783 (MN)CNP 3783 (MN)
Practice Information
- Address
-
10911 RHODE ISLAND CIR NCHAMPLIN, MN, 553163256Browse MN providers · Browse ZIP 55316
- Phone
- 7634932947
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
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.