Individual
OMORUYI AYIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4850 S 4TH AVE, PHOENIX, AZ 85041-3180
(480) 286-0407
Mailing address
4850 S 4TH AVE, PHOENIX, AZ 85041-3180
(480) 286-0407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12250612
AZ
363L00000X
Nurse Practitioner
Primary
232153
AZ
Other
Enumeration date
01/07/2026
Last updated
01/20/2026
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