Individual
MR. OLUBUKOLA A AWONIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, PMHNP-BC
Contact information
Practice address
20710 BARRINGTON MEADOW TRCE, RICHMOND, TX 77407-2267
(718) 755-2049
Mailing address
20710 BARRINGTON MEADOW TRCE, RICHMOND, TX 77407-2267
(718) 755-2049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021101871
ANCC CERTIFICATION
—
Enumeration date
11/06/2021
Last updated
11/06/2021
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