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Organization
NORTHMARK PSYCHIATRY LLC
Active
Organization
NORTHMARK PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITILOPE OLAOLUWA OMISAKIN DNP,APRN,PMHNP-BC (OWNER)
(908) 374-8661
Entity
Organization
Contact information
Practice address
12860 STUTZ CT, BLAINE, MN 55449-7497
(908) 374-8661
(763) 402-7807
Mailing address
12860 STUTZ CT, BLAINE, MN 55449-7497
(908) 374-8661
(763) 402-7807
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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