| Doctor Name: | MRS. GLORIA O OLATUBOSUN |
| NPI Number: | 1134372865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN. FNP-BC |
| License Number: | 26NJ00379500 |
| Business Practice Address: | 22 Creekwood Dr Bordentown, NJ - 085054809 |
| Business Phone Number: | 6094999723 |
| Business Fax Number: | |
| Mailing Address: | 22 Creekwood Dr, BORDENTOWN |
| State: | NJ |
| Postal Code: | 085054809 |
| Phone Number: | 6094999723 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2008 |
| NPI Last Update Date: | 09/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00379500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |