Individual provider · Type 1 NPI

Agnes Olaolu Ezekiel, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Grants Pass, OR

NPI number 1821620840 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Mailing address

PO Box 1231
Havre, MT 59501-1231

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X162006 (MT)

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

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About NPI 1821620840

Agnes Olaolu Ezekiel, PMHNP-BC's National Provider Identifier is 1821620840, issued on Feb 7, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grants Pass, OR. The record was last updated on Dec 19, 2023.