Individual provider · Type 1 NPI
Bantale Oluremi Ayisire
Psychiatric/Mental Health Nurse Practitioner · Winnetka, CA
NPI number
1538969282
Active
Practice location
20623 Green Ash Ln
Winnetka, CA 91306-1557
Fax (818) 303-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95033816 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Winnetka
About NPI 1538969282
Bantale Oluremi Ayisire's National Provider Identifier is 1538969282, issued on Mar 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Winnetka, CA. The record was last updated on Mar 25, 2026.