OLUBUNMI MUTIAT AZIAKA NPI 1912675901

NPI Information

NPI: 1912675901
Provider Name: OLUBUNMI MUTIAT AZIAKA
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1900 E MAIN ST
DANVILLE, IL
ZIP 61832
Phone: (217) 554-3000
Get Directions

Olubunmi Mutiat Aziaka is a psychiatric/mental health nurse practitioner in Danville, IL. Olubunmi Mutiat Aziaka NPI is 1912675901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 E MAIN ST
DANVILLE, IL
ZIP 61832-100
Phone: (217) 554-3000
Fax: (217) 554-3370

The enumeration date for this NPI number is 9/2/2021 and was last updated on 9/2/2021.

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	041358697	ILLINOIS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	28250636A	INDIANA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9517579	FLORIDA	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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