Olusola Awodu, RN
Nurse Practitioner, Psych/Mental Health in Randolph, Massachusetts
1063014496- Practice location
- 500 N Main St Ste C2nd, Randolph, MA 02368-6700
- Phone
- 857-247-0263
- Fax
- —
- Last updated
- November 20, 2021
Olusola Awodu is a Nurse Practitioner, Psych/Mental Health based in Randolph, MA. Olusola Awodu practices in Randolph, MA and has the professional credentials of RN. The NPI Number for Olusola Awodu is 1063014496 and holds a License No. RN2297551 (MA). The current practice location address for Olusola Awodu is 500 N Main St Ste C2nd, Randolph, MA 02368-6700 and can be reached out via phone at 857-247-0263.
Provider Profile Details
- NPI Number
- 1063014496
- Provider Name
- Olusola Awodu
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 N Main St Ste C2nd, Randolph, MA 02368-6700
- Phone Number
- 857-247-0263
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 11, 2020
- Last Update Date
- November 20, 2021
- Certification Date
- November 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 N Main St Ste C2nd
Randolph, MA 02368-6700 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-6700
- Phone Number
- 857-247-0263
Provider Business Mailing Address Details
- Address
- 500 N Main St Ste C2nd
Randolph, MA 02368-6700 - City
- Randolph
- State
- MA
- Zip
- 02368-6700
- Phone Number
- 857-247-0263
License Information
- License Number (1)
- RN2297551
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- RN2297551
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Olusola Awodu, RN?
The NPI number of Olusola Awodu, RN is 1063014496. It was assigned on November 11, 2020 and is currently active in the NPPES registry.
What is the specialty of Olusola Awodu, RN?
Olusola Awodu, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2297551.
Where does Olusola Awodu, RN practice?
The practice location is 500 N Main St Ste C2nd, Randolph, MA 02368-6700. The office can be reached at 857-247-0263 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063014496 directly on the NPPES registry website.