Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN
Nurse Practitioner, Psych/Mental Health in Union, New Jersey
1154011120- Practice location
- 936 Stuyvesant Ave, Union, NJ 07083-6991
- Phone
- 973-449-9885
- Fax
- —
- Last updated
- May 17, 2023
Bolakale Ikwu is a Nurse Practitioner, Psych/Mental Health based in Union, NJ. Bolakale Ikwu practices in Union, NJ and has the professional credentials of PMHNP-BC, MSN, CNL, RN. The NPI Number for Bolakale Ikwu is 1154011120 and holds a License No. 26NJ01481700 (NJ). The current practice location address for Bolakale Ikwu is 936 Stuyvesant Ave, Union, NJ 07083-6991 and can be reached out via phone at 973-449-9885.
Provider Profile Details
- NPI Number
- 1154011120
- Provider Name
- Bolakale Ikwu
- Credential
- PMHNP-BC, MSN, CNL, RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 936 Stuyvesant Ave, Union, NJ 07083-6991
- Phone Number
- 973-449-9885
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 11, 2023
- Last Update Date
- May 17, 2023
- Certification Date
- May 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 936 Stuyvesant Ave
Union, NJ 07083-6991 - City
- Union
- State
- New Jersey
- Zip
- 07083-6991
- Phone Number
- 973-449-9885
Provider Business Mailing Address Details
- Address
- 1572 Ridgeway St
Union, NJ 07083-5130 - City
- Union
- State
- NJ
- Zip
- 07083-5130
- Phone Number
- 973-449-9885
License Information
- License Number
- 26NJ01481700
- License State
- NJ
- Taxonomy
- 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 Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN?
The NPI number of Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN is 1154011120. It was assigned on May 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN?
Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01481700.
Where does Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN practice?
The practice location is 936 Stuyvesant Ave, Union, NJ 07083-6991. The office can be reached at 973-449-9885 (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 1154011120 directly on the NPPES registry website.