Individual
MAYOWA OKUNEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, MSN, MBBS, RN
Contact information
Practice address
3633 BUNKER LAKE BLVD NW, ANDOVER, MN 55304-7402
(763) 421-5011
Mailing address
11310 JOHNSON ST NE, BLAINE, MN 55434-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2477905
MN
2083P0901X
Public Health & General Preventive Medicine Physician
28761
MN
363LF0000X
Family Nurse Practitioner
Primary
9999
MN
Other
Enumeration date
08/28/2023
Last updated
02/02/2024
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