Individual provider · Type 1 NPI
Olubunmi Olugbile
Psychiatric/Mental Health Nurse Practitioner · Norwich, CT
NPI number
1104514272
Active
Practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
4 Rockland St
Wethersfield, CT 06109-1235
Other practice locations
- 200 Retreat Ave, Hartford, CT 06106-3310 · (860) 545-7069
- 112 Mansfield Ave, Willimantic, CT 06226-2045 · (860) 456-9116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2022137470 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11939 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104514272
Olubunmi Olugbile's National Provider Identifier is 1104514272, issued on Apr 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Norwich, CT. The record was last updated on Sep 11, 2023.