Individual provider · Type 1 NPI

Olubodun Ajibayo Ofakunrin, PMHNP, CNP

Psychiatric/Mental Health Nurse Practitioner · New Brighton, MN

NPI number 1790657633 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Fax (651) 628-0411

Mailing address

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X13390 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1790657633

Olubodun Ajibayo Ofakunrin, PMHNP, CNP's National Provider Identifier is 1790657633, issued on Sep 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Brighton, MN. The record was last updated on Dec 11, 2025.