Individual provider · Type 1 NPI

Olawale Nurudeen Moyosore

Psychiatric/Mental Health Nurse Practitioner · Prescott, AZ

NPI number 1063087849 Active

Practice location

500 Highway 89 North
Prescott, AZ 86313

Mailing address

181 Whipple St
Prescott, AZ 86301-1705

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X262277 (AZ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP143491 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063087849

Olawale Nurudeen Moyosore's National Provider Identifier is 1063087849, issued on May 24, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Prescott, AZ. The record was last updated on Jan 28, 2022.