Individual provider · Type 1 NPI
Bamidele Ganiyu
Psychiatric/Mental Health Nurse Practitioner · Columbia, MO
NPI number
1073155933
Active
Practice location
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Fax (573) 234-1799
Mailing address
616 Derek Dr
Wentzville, MO 63385-6841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2020002143 (MO) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 83508 (KS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2020002143 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Casey M. Fischer, MSN, FPMHNPPsychiatric/Mental Health Nurse Practitioner Columbia, MO NPI 1265113880
About NPI 1073155933
Bamidele Ganiyu's National Provider Identifier is 1073155933, issued on Oct 11, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbia, MO. The record was last updated on Nov 19, 2024.