Individual provider · Type 1 NPI

Olamigoke David Omotayo

Family Nurse Practitioner · Greenwood, IN

NPI number 1396616280 Active

Practice location

821 N State Road 135
Greenwood, IN 46142-1314

Fax (317) 530-9084

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71016925A (IN)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1396616280

Olamigoke David Omotayo's National Provider Identifier is 1396616280, issued on Sep 15, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenwood, IN. The record was last updated on Sep 9, 2026.