Provider Demographics
NPI:1932475183
Name:AWOSIKA, FRANCIS KEHINDE (RN, ACNP-BC)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:KEHINDE
Last Name:AWOSIKA
Suffix:
Gender:M
Credentials:RN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30629 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5058
Mailing Address - Country:US
Mailing Address - Phone:734-326-2714
Mailing Address - Fax:734-326-2714
Practice Address - Street 1:30629 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5058
Practice Address - Country:US
Practice Address - Phone:734-326-2714
Practice Address - Fax:734-326-2714
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704242637363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care