Individual provider · Type 1 NPI
Anthony Vincent Olorunsola, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
NPI number
1205211802
Active
Practice location
4525 S Lakeshore Dr
Tempe, AZ 85282-8339
Mailing address
11211 E Sonrisa Ave
Mesa, AZ 85212-7079
Other practice locations
- 540 W Iron Ave Ste 201, Mesa, AZ 85210-6027 · (623) 806-6864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7477 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP7477 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205211802
Anthony Vincent Olorunsola, PMHNP-BC's National Provider Identifier is 1205211802, issued on Jul 23, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tempe, AZ. The record was last updated on Jan 16, 2023.