Individual
BOLAJOKO OLUFUNKE ASONIBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10409 MONTGOMERY PKWY NE STE 202B, ALBUQUERQUE, NM 87111-3852
(505) 910-4070
(505) 910-4587
Mailing address
10409 MONTGOMERY PKWY NE STE 202B, ALBUQUERQUE, NM 87111-3852
(505) 910-4070
(505) 910-4587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
940357
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
87285
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
940357
TX
Other
Enumeration date
05/31/2018
Last updated
04/13/2026
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