Individual provider · Type 1 NPI

Yemisi Helen Idim

Adult Health Nurse Practitioner · Tottenham, CA

NPI number 1326915646 Active

Practice location

53 Mcgovern Street
Tottenham, CA L0G 1W0

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X306139 (NY)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1326915646

Yemisi Helen Idim's National Provider Identifier is 1326915646, issued on Oct 21, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tottenham, CA. The record was last updated on Oct 21, 2025.