Search › Colorado › 363L00000X
Olufunmilola Ogunmodede, RN
NPI 1568521573 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3937 Ivywood Ln
Pueblo, CO 81005 - Phone
- (719) 553-0111
- Fax
- (833) 918-2238
- Organisation at this address
- Southern Colorado Clinic Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 15400 E 14th Pl Ste 309, Aurora, CO
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
163W00000X - Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado