Individual
DR. OMOTAYO ELIZABETH AWUJOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
20 RESEARCH PARKWAY, OLD SAYBROOK, CT 06475
(800) 370-3651
(860) 370-3651
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00675000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NR14090700
NJ
Other
Enumeration date
05/17/2007
Last updated
05/31/2022
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