MRS. DOROTHY OLERE OKESOLA


Address: 18333 Dolan Way Ste 206, Santa Clarita, CA 91387
Phone: 6614249590

MRS. DOROTHY OLERE OKESOLA (NPI# 1063980084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063980084
Entity Type Individual
Full Name MRS. DOROTHY OLERE OKESOLA
Other Name MISS DOROTHY OLERE KEMIE
Credential FNP
Practice Address 18333 Dolan Way Ste 206
Santa Clarita
CA 91387
Mailing Address 18333 Dolan Way Ste 206
Santa Clarita
CA 91387-5423
Practice Telephone 6614249590
Practice Fax Number 6614249591
Mailing Telephone 6614249590
Mailing Fax Number 6614249590
Enumeration Date 2018-11-07
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1500X Registered Nurse
Specialization: Community Health
549002 CA Nursing Service Providers
N 163WH0200X Registered Nurse
Specialization: Home Health
771407 CA Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
95010385 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95010385 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
18333 Dolan Way Ste 206, Santa Clarita, CA 91387 6614249590 6614249591

Office Location

Street Address 18333 DOLAN WAY STE 206
City SANTA CLARITA
State CA
Zip Code 91387

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City SANTA CLARITA
Zip Code 91387

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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