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Bamidele Ganiyu
Nurse Practitioner in Columbia, Missouri
NPI 1073155933

Bamidele Ganiyu is a Nurse Practitioner based in Wentzville, MO. Bamidele Ganiyu practices in Columbia, MO. The NPI Number for Bamidele Ganiyu is 1073155933 and holds a License No. 2020002143 (Missouri).

The current practice location address for Bamidele Ganiyu is 2101 Corona Rd Ste 102, Columbia, MO and can be reached out via phone at 573-234-1800 and via fax at 573-234-1799. You can also correspond with Bamidele Ganiyu through the mailing address at 616 DEREK DR, WENTZVILLE, MO - 63385-6841 (mailing address contact number: 314-960-4106).

Location: 2101 Corona Rd Ste 102, Columbia, MO, 63385-6841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073155933
Provider Name
Bamidele Ganiyu
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 Corona Rd Ste 102, Columbia, MO, 63385-6841
Phone Number
573-234-1800
Fax Number
573-234-1799
Provider Enumeration Date
10/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Corona Rd Ste 102
City
Columbia
State
Missouri
Zip
65203-2582
Phone Number
573-234-1800
Fax Number
573-234-1799
person
Provider Business Mailing Address Details
Address
616 Derek Dr
City
Wentzville
State
Missouri
Zip
63385-6841
Phone Number
314-960-4106
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2020002143 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2020002143 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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