Individual provider · Type 1 NPI

Olusade O. Fakolade

Psychiatric/Mental Health Nurse Practitioner · Lafayette, IN

NPI number 1801594072 Active

Practice location

833 Park East Blvd
Lafayette, IN 47905-0785

Mailing address

5477 Ralfe Rd
Indianapolis, IN 46234-3753

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71013601A (IN)
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X71013601A (IN)

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

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About NPI 1801594072

Olusade O. Fakolade's National Provider Identifier is 1801594072, issued on Feb 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, IN. The record was last updated on Jun 1, 2023.