Individual
BABATUNDE SAMUEL OLOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1672 S WOODSAGE AVE, MERIDIAN, ID 83642-8329
(208) 515-2273
(208) 515-2274
Mailing address
1672 S WOODSAGE AVE, MERIDIAN, ID 83642-8329
(208) 515-2273
(208) 515-2274
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6871160
ID
Other
Enumeration date
08/30/2025
Last updated
09/02/2025
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