# MR. ADEGBOYEGA OMOBA

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

## Provider details

- **NPI number:** 1144713611
- **Gender:** Man
- **Credential:** DNP, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 840719 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2639996 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP137736 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-APN.0001960-C-NP | CO | — |

## Other

- **Enumeration date:** 06/11/2018
- **Last updated:** 03/11/2025