FAVOUR OLEKANMA NPI 1205415353

NPI Information

  • NPI: 1205415353
  • Provider Name: FAVOUR OLEKANMA
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6909 WINTER NIGHT AVE
    FONTANA, CA
    ZIP 92336
  • Phone: (909) 251-3146

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NPI Details

Favour Olekanma is a family nurse practitioner in Fontana, CA with 7 years of experience. Favour Olekanma NPI is 1205415353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6909 WINTER NIGHT AVE
FONTANA, CA
ZIP 92336-471
Phone: (909) 251-3146

The NPI 1205415353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 4/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF06200008CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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