Individual provider · Type 1 NPI

Ibukun Odutola

Psychiatric/Mental Health Nurse Practitioner · Prescott Valley, AZ

NPI number 1801404074 Active

Practice location

3345 N Windsong Dr
Prescott Valley, AZ 86314-2283

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X810773 (NV)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X244759 (AZ)

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

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About NPI 1801404074

Ibukun Odutola's National Provider Identifier is 1801404074, issued on Jul 14, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Prescott Valley, AZ. The record was last updated on Sep 1, 2026.