Okougbo, Bolatito Oyeronke
Okougbo, Bolatito Oyeronke is an individual health care provider with primary practice located at 10926 W Ivory Ln , Avondale AZ 85392-4025. 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. Okougbo, Bolatito Oyeronke can be contacted via phone (623) 977-7644.Contact Information
Primary practice address
10926 W Ivory Ln
Avondale AZ 85392-4025
Phone: (623) 977-7644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 257217 | Arizona |
Profile Details
| NPI number | 1063095503 |
|---|---|
| LBN Legal business name | Okougbo, Bolatito Oyeronke |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2021 |
| Last updated | May 3rd, 2021 - about 5 years 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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