Olawale Nurudeen Moyosore is a psychiatric/mental health nurse practitioner in Prescott, AZ. Olawale Nurudeen Moyosore NPI is 1063087849. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
500 HIGHWAY 89 NORTH
PRESCOTT, AZ
ZIP 86313
Phone: (928) 445-4860
The NPI 1063087849 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/24/2021 and was last updated on 1/28/2022.