Individual provider · Type 1 NPI
Oluwatayo Mwamba
Pediatric Nurse Practitioner · Lafayette, IN
NPI number
1912724154
Active
Practice location
615 Vineyards Ct
Lafayette, IN 47905-3806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AC008400 (MD) |
| Pediatric Registered Nurse | 163WP0200X | 28273458A (IN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1912724154
Oluwatayo Mwamba's National Provider Identifier is 1912724154, issued on Sep 19, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lafayette, IN. The record was last updated on Dec 4, 2025.