IndividualActive
Abejide Fawole, CNP
NPI 1497939565 · Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1497939565
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1067 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4730 Chicago Ave
Minneapolis, MN 55407-3570
Phone: (952) 883-6805
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2020-07-23
- Certified
- 2020-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.