Individual provider · Type 1 NPI
Mobolaji Rosanwo, DNP CRNP PHMNP-BC
Psychiatric/Mental Health Nurse Practitioner · Albany, NY
NPI number
1730753989
Active
Practice location
418 Broadway Ste N
Albany, NY 12207-2922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61358864 (WA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403963 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R223563 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730753989
Mobolaji Rosanwo, DNP CRNP PHMNP-BC's National Provider Identifier is 1730753989, issued on May 13, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albany, NY. The record was last updated on Jul 22, 2026.