Individual
ADEWALE MUSILIYU BUSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6880 S MCCARRAN BLVD STE 14, RENO, NV 89509-6129
(775) 393-9101
(775) 403-1799
Mailing address
6880 S MCCARRAN BLVD STE 14, RENO, NV 89509-6129
(775) 393-9101
(775) 403-1799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
823071
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699018978
—
NE
Enumeration date
06/21/2019
Last updated
10/07/2019
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