Individual
AKINBOWALE AYENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2781 PILOT KNOB RD, EAGAN, MN 55121-1119
(651) 289-7300
Mailing address
4548 BAILEY LAKE DR, WOODBURY, MN 55129-5508
(651) 734-5884
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7679
MN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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