OLASUMBO OLUWAKEMI DADA NPI 1477806461

NPI Information

  • NPI: 1477806461
  • Provider Name: OLASUMBO OLUWAKEMI DADA
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: MACH
    6600 VAN AALST BLVD
    FT. MOORE, GA
    ZIP 31905
  • Phone: (719) 231-9213

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NPI Details

Olasumbo Oluwakemi Dada is an adult health nurse practitioner in Ft. Moore, GA. Olasumbo Oluwakemi Dada NPI is 1477806461. 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:

MACH
6600 VAN AALST BLVD
FT. MOORE, GA
ZIP 31905
Phone: (719) 231-9213

The NPI 1477806461 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 2/12/2025.

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
1363LA2200XNurse PractitionerAdult HealthRN186907GEORGIAYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN186907GEORGIANo

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: 3/30/2025

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