Olorunsola, Anthony Vincent

Olorunsola, Anthony Vincent is an individual health care provider with primary practice located at 4525 S Lakeshore Dr , Tempe AZ 85282-8339. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Olorunsola, Anthony Vincent can be contacted via phone (623) 806-6864.

Contact Information

Primary practice address
4525 S Lakeshore Dr Tempe AZ 85282-8339
Phone: (623) 806-6864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7477 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP7477 Arizona

Profile Details

NPI number 1205211802
LBN Legal business name Olorunsola, Anthony Vincent
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2015
Last updated Jan 16th, 2023 - about 3 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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