OLUWAGBEMIGA ODEDE NP NPI 1245990977

NPI Information

  • NPI: 1245990977
  • Provider Name: OLUWAGBEMIGA ODEDE, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4111 E VALLEY AUTO DR STE 201
    MESA, AZ
    ZIP 85206
  • Phone: (470) 313-2572

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NPI Details

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health268009ARIZONAYes

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: 11/21/2025

NPI Synchronization or Removal

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