Individual
MR. ATILADE A OWOLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
4570 AVERY LN SE # 9013, LACEY, WA 98503-5608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61451208
WA
Other
Enumeration date
06/27/2021
Last updated
04/21/2025
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