Active NPIIndividual provider

Dr. Omotayo E Awujoola, NURSE PRACTITIONER

Nurse Practitioner, Psych/Mental Health in Old Saybrook, Connecticut

NPI Number1194932392
Practice location
20 Research Parkway, Old Saybrook, CT 06475
Fax
860-370-3651
Last updated
May 31, 2022

Omotayo Elizabeth Awujoola is a Nurse Practitioner, Psych/Mental Health based in Old Saybrook, CT. Omotayo Elizabeth Awujoola practices in Old Saybrook, CT and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Omotayo Elizabeth Awujoola is 1194932392 and holds a License No. 26NJ00675000 (NJ). The current practice location address for Omotayo Elizabeth Awujoola is 20 Research Parkway, Old Saybrook, CT 06475 and can be reached out via phone at 800-370-3651 and via fax at 860-370-3651.

Provider Profile Details

NPI Number
1194932392
Provider Name
Omotayo Elizabeth Awujoola
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
20 Research Parkway, Old Saybrook, CT 06475
Phone Number
800-370-3651
Fax Number
860-370-3651
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2007
Last Update Date
May 31, 2022
Certification Date
May 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Research Parkway
Old Saybrook, CT 06475
Zip
06475
Phone Number
800-370-3651
Fax Number
860-370-3651
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
20 Research Pkwy
Old Saybrook, CT 06475-4214
City
Old Saybrook
State
CT
Zip
06475-4214
Phone Number
800-370-3651
Fax Number
860-510-0020

License Information

License Number (1)
26NJ00675000
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NR14090700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Omotayo E Awujoola, NURSE PRACTITIONER?

The NPI number of Dr. Omotayo E Awujoola, NURSE PRACTITIONER is 1194932392. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Omotayo E Awujoola, NURSE PRACTITIONER?

Dr. Omotayo E Awujoola, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00675000.

Where does Dr. Omotayo E Awujoola, NURSE PRACTITIONER practice?

The practice location is 20 Research Parkway, Old Saybrook, CT 06475. The office can be reached at 800-370-3651 (phone) or 860-370-3651 (fax).

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 1194932392 directly on the NPPES registry website.

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