Individual
MR. YINKA TOSHO ALAYANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2187 SWANSON AVE, LAKE HAVASU CITY, AZ 86403-6838
(928) 757-8111
(959) 210-6634
Mailing address
3707 N STOCKTON HILL RD STE B, KINGMAN, AZ 86409-0507
(959) 210-6634
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1112295
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
286130
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
73419
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138137
—
AZ
Enumeration date
03/07/2023
Last updated
01/10/2025
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