Individual provider · Type 1 NPI
Bolanle Ahazie, PMHNP (APN)
Psychiatric/Mental Health Nurse Practitioner · Port Reading, NJ
NPI number
1346831716
Active
Practice location
50 Henry St
Port Reading, NJ 07064-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01106700 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1346831716
Bolanle Ahazie, PMHNP (APN)'s National Provider Identifier is 1346831716, issued on Jan 28, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Reading, NJ. The record was last updated on Jan 28, 2021.