OLUWAGBEMIGA ODEDE NP NPI 1245990977

NPI Information

NPI: 1245990977
Provider Name: OLUWAGBEMIGA ODEDE, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
4111 E VALLEY AUTO DR STE 201
MESA, AZ
ZIP 85206
Phone: (470) 313-2572
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Oluwagbemiga Odede, NP is a psychiatric/mental health nurse practitioner in Mesa, AZ. Oluwagbemiga Odede, NP NPI is 1245990977. 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:

4111 E VALLEY AUTO DR STE 201
MESA, AZ
ZIP 85206-609
Phone: (470) 313-2572

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	268009	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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