Provider Demographics
NPI:1023294261
Name:OGUNLEYE-KOLAWOLE, ABIMBOLA A (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:ABIMBOLA
Middle Name:A
Last Name:OGUNLEYE-KOLAWOLE
Suffix:
Gender:F
Credentials:DNP, FNP-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3616 CAPE CENTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4456
Mailing Address - Country:US
Mailing Address - Phone:910-779-0780
Mailing Address - Fax:910-900-8280
Practice Address - Street 1:3616 CAPE CENTER DR STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4456
Practice Address - Country:US
Practice Address - Phone:910-779-0780
Practice Address - Fax:910-900-8280
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC231011363LF0000X
NYF335271-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily