Olugbenga Francis Akinwuntan
Individual provider Active NPI Nurse Practitioner · Salisbury, NC
NPI 1487360426 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1487360426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5018014 (NC)
- Practice address
- 1035 Lincolnton Rd Ste E
Salisbury, NC 28144-6277 - Phone
- (704) 637-1123
- Fax
- (704) 637-1214
- NPI assigned
- Jan 24, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018014 | NC | MD | Nurse Practitioner |
| F10220574 | NC | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F10220574 | NC | |
| Nurse Practitioner | 363L00000X | 5018014 | NC | Yes |
Addresses
Primary practice location
1035 Lincolnton Rd Ste E
Salisbury, NC 28144-6277
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
860 Jake Alexander Blvd W
Salisbury, NC 28147-1220
Phone (704) 637-1123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710933692 | Medicaid | NC |
Other providers in Salisbury, NC
- Tammie G Agner
- Dominic Edward Agresta
- Zeeshan Naseer Ahmad
- Bonnie E. Aiken
- Andrea Michelle Aitken
- Shekeia Arnae' Al-Amin
- Glen Albracht
- Jennifer Hartsell Alderman
- Aayla Alexander
- Kimberly Jo Alexander
All providers in Salisbury, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.