Individual
MATHEW OLATUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
17872 LINCOLN HWY, MIDDLE POINT, OH 45863
(419) 968-2950
Mailing address
1915 WENDELL AVE, LIMA, OH 45805-3162
(419) 516-2791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
156796
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033573
OH
Other
Enumeration date
11/04/2014
Last updated
04/17/2023
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