| Wellness Oasis Llc | |
|
1729 Sequoia Dr Henderson NV 89014-3571 | |
| (702) 665-3898 | |
| Not Available |
| Full Name | Wellness Oasis Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1729 Sequoia Dr, Henderson, Nevada |
| Authorized Official Name and Position | Olufunke Elizabeth Fadahunsi (NP) |
| Authorized Official Contact | 7026653898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Oasis Llc 1729 Sequoia Dr Henderson NV 89014-3571 Ph: (702) 665-3898 | Wellness Oasis Llc 1729 Sequoia Dr Henderson NV 89014-3571 Ph: (702) 665-3898 |
| NPI Number | 1447009055 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 08/09/2024 |
| Medicare PECOS PAC ID | 2264971233 |
|---|---|
| Medicare Enrollment ID | O20240822002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447009055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Olufunke Elizabeth Fadahunsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548959075 PECOS PAC ID: 6608239983 Enrollment ID: I20230905001525 |
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