Odutola, Ibukun

Odutola, Ibukun is an individual health care provider with primary practice located at 3345 N Windsong Dr , Prescott Valley AZ 86314-2283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Odutola, Ibukun can be contacted via phone (928) 445-5211.

Contact Information

Primary practice address
3345 N Windsong Dr Prescott Valley AZ 86314-2283
Phone: (928) 445-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 810773 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 244759 Arizona

Profile Details

NPI number 1801404074
LBN Legal business name Odutola, Ibukun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2020
Last updated Sep 1st, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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