Individual provider · Type 1 NPI
Olubola Tomilola Adesuyi
Psychiatric/Mental Health Nurse Practitioner · Vienna, VA
NPI number
1093513236
Active
Practice location
8609 Westwood Center Dr Ste 110
Vienna, VA 22182-7525
Mailing address
12751 Fair Lakes Circle Apt 403
Fairfax, VA 22033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 24192768 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093513236
Olubola Tomilola Adesuyi's National Provider Identifier is 1093513236, issued on Mar 4, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Vienna, VA. The record was last updated on Oct 20, 2025.