Mrs. Olitha Jamesetta Fofana, AGPCNP-BC
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC is a Nurse Practitioner in Champlin, Minnesota. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 12
- Trained at
- University of South Alabama College of Medicine
- Licensed in
- MN
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
10911 Rhode Island Cir NChamplin, MN 55316-3256
Phone: (763) 493-2947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence CNP 3783 (MN) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence CNP 3783 (MN) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence CNP 3783 (MN) |
Record details
| NPI number | 1013301407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGPCNP-BC |
| Sole proprietor | No |
| NPI enumerated | March 24, 2015 |
| Last updated in NPPES | March 24, 2015 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Champlin
-
Nas Healthcare Center
10907 Xylon Ln N, Champlin, MN 55316-3712 · (763) 477-8151