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Organization
NSD MENTAL HEALTH SERVICES
Active
Organization
NSD MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FUNMILOLA O SIJUADE DNP, APRN, PMHNP-BC (PMHNP)
(917) 499-2254
Entity
Organization
Contact information
Practice address
1846 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(888) 260-5687
Mailing address
23515 PRATO GARDENS LN, KATY, TX 77493-3242
(917) 499-2254
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
12/04/2023
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