Individual
FUNMILAYO A OGUNRUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
155 ROUTE 22 STE 2, SPRINGFIELD, NJ 07081-3109
(609) 892-1358
Mailing address
50 CYPRESS ST APT 3, NEWARK, NJ 07108-3750
(609) 892-1358
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01296300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
NJ
Enumeration date
01/28/2022
Last updated
12/05/2025
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