Active NPIIndividual provider

Bolanle Ahazie, PMHNP (APN)

Nurse Practitioner, Psych/Mental Health in Port Reading, New Jersey

NPI Number1346831716
Practice location
50 Henry St, Port Reading, NJ 07064-1016
Fax
—
Last updated
January 28, 2021

Bolanle Ahazie is a Nurse Practitioner, Psych/Mental Health based in Port Reading, NJ. Bolanle Ahazie practices in Port Reading, NJ and has the professional credentials of PMHNP (APN). The NPI Number for Bolanle Ahazie is 1346831716 and holds a License No. 26NJ01106700 (NJ). The current practice location address for Bolanle Ahazie is 50 Henry St, Port Reading, NJ 07064-1016 and can be reached out via phone at 732-896-1131.

Provider Profile Details

NPI Number
1346831716
Provider Name
Bolanle Ahazie
Credential
PMHNP (APN)
Provider Entity Type
Individual
Gender
Female
Address
50 Henry St, Port Reading, NJ 07064-1016
Phone Number
732-896-1131
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
January 28, 2021
Last Update Date
January 28, 2021
Certification Date
January 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Henry St
Port Reading, NJ 07064-1016
Zip
07064-1016
Phone Number
732-896-1131
Port Reading, NJ 07064Get directions →

Provider Business Mailing Address Details

Address
50 Henry St
Port Reading, NJ 07064-1016
City
Port Reading
State
NJ
Zip
07064-1016
Phone Number
732-896-1131

License Information

License Number
26NJ01106700
License State
NJ
Taxonomy
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 Bolanle Ahazie, PMHNP (APN)?

The NPI number of Bolanle Ahazie, PMHNP (APN) is 1346831716. It was assigned on January 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Bolanle Ahazie, PMHNP (APN)?

Bolanle Ahazie, PMHNP (APN) is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01106700.

Where does Bolanle Ahazie, PMHNP (APN) practice?

The practice location is 50 Henry St, Port Reading, NJ 07064-1016. The office can be reached at 732-896-1131 (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 1346831716 directly on the NPPES registry website.

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