Individual provider · Type 1 NPI

Olubukola Awe, NP

Nurse Practitioner · Waterbury, CT

NPI number 1104114149 Active

Practice location

140 Grandview Ave Ste L01
Waterbury, CT 06708-2500

Fax (203) 575-2153

Mailing address

19201 E Valley View Pkwy, Ste G
Independence, MO 64055-6910

Other practice locations

  • 19201 E Valley View Pkwy, Ste G, Independence, MO 64055-6910 · (816) 254-2552

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2011009356 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104114149

Olubukola Awe, NP's National Provider Identifier is 1104114149, issued on Jul 12, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waterbury, CT. The record was last updated on Mar 17, 2018.