FADEKEMI SULIAT OLUDE APRN PMHNP-BC NPI 1639766199

NPI Information

NPI: 1639766199
Provider Name: FADEKEMI SULIAT OLUDE, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
444 E BOSTON POST RD
MAMARONECK, NY
ZIP 10543
Phone: (713) 291-8625
Get Directions

Fadekemi Suliat Olude, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Mamaroneck, NY with 4 years of experience. Fadekemi Suliat Olude, APRN, PMHNP-BC NPI is 1639766199. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

444 E BOSTON POST RD
MAMARONECK, NY
ZIP 10543-708
Phone: (713) 291-8625

The NPI 1639766199 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 12/30/2020 and was last updated on 12/30/2020.

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	1023087	TEXAS	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: 5/5/2024

NPI Synchronization or Removal

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