# OLAMIDE ABIODUN VINCENT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013474238
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | LG0001239 | DE | — |
| 363LF0000X | Family Nurse Practitioner | SP019995 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | L8-0010349 | DE | Yes |

## Other

- **Enumeration date:** 02/24/2019
- **Last updated:** 10/28/2022