Individual provider · Type 1 NPI
Olubunmi Mutiat Aziaka
Psychiatric/Mental Health Nurse Practitioner · Danville, IL
NPI number
1912675901
Active
Practice location
1900 E Main St
Danville, IL 61832-5100
Fax (217) 554-3370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 041358697 (IL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 28250636A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9517579 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912675901
Olubunmi Mutiat Aziaka's National Provider Identifier is 1912675901, issued on Sep 2, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Danville, IL. The record was last updated on Sep 2, 2021.