Individual provider · Type 1 NPI
Toba Olushola Omidiji, NP
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1225552292
Active
Practice location
528 Rockaway Ave
Brooklyn, NY 11212-5625
Fax (408) 762-1980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307838 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403703-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225552292
Toba Olushola Omidiji, NP's National Provider Identifier is 1225552292, issued on Aug 1, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 4, 2022.