Individual
MR. YAHAYA AKOLADE ANIMASHAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
188 FRIES MILL RD STE E2, BLACKWOOD, NJ 08012-2015
(551) 214-4475
Mailing address
10 ETON DR, SEWELL, NJ 08080-2482
(908) 247-8768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO10656800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJO1182500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJO1182500
PROFESSIONAL LICENSE NUMBER
NJ
Enumeration date
03/04/2008
Last updated
09/03/2024
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