Individual provider · Type 1 NPI
Moriam Bolare Na-Allah
Psychiatric/Mental Health Nurse Practitioner · Edmond, OK
NPI number
1285283176
Active
Practice location
2712 Greenfield Dr
Edmond, OK 73012-6531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 111165 (OK) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 111165 (OK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1285283176
Moriam Bolare Na-Allah's National Provider Identifier is 1285283176, issued on Sep 4, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Edmond, OK. The record was last updated on Dec 9, 2023.