Provider Demographics
NPI:1497131478
Name:GIWA, ANUOLUWA ADEOLA (NP)
Entity Type:Individual
Prefix:
First Name:ANUOLUWA
Middle Name:ADEOLA
Last Name:GIWA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 WHITE PLAINS RD STE 525
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5191
Mailing Address - Country:US
Mailing Address - Phone:914-525-0500
Mailing Address - Fax:
Practice Address - Street 1:660 WHITE PLAINS RD STE 525
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5191
Practice Address - Country:US
Practice Address - Phone:914-525-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3438040-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty