Individual
BOLAKALE IKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC,MSN,CNL,RN
Contact information
Practice address
936 STUYVESANT AVE, UNION, NJ 07083-6991
(973) 449-9885
Mailing address
1572 RIDGEWAY ST, UNION, NJ 07083-5130
(973) 449-9885
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01481700
NJ
Other
Enumeration date
05/11/2023
Last updated
05/17/2023
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