Individual provider · Type 1 NPI
Mathias Omon Ologbosele
Psychiatric/Mental Health Nurse Practitioner · Burlington, NJ
NPI number
1720604986
Active
Practice location
2 Pastern Ter
Burlington, NJ 08016-4296
Mailing address
615 S 19th St
Newark, NJ 07103-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01039100 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720604986
Mathias Omon Ologbosele's National Provider Identifier is 1720604986, issued on Jun 23, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Burlington, NJ. The record was last updated on Aug 24, 2023.