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Mr. Ayodeji Bamidele Olawale, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Bridgeport, Connecticut
NPI 1598395725

Ayodeji Bamidele Olawale is a Psychiatric/Mental Health Nurse Practitioner based in Randallstown, CT and is specialized in Psychiatric/Mental Health. Ayodeji Bamidele Olawale practices in Bridgeport, CT and has the professional credentials of PMHNP. The NPI Number for Ayodeji Bamidele Olawale is 1598395725 and holds a License No. R210564 (Connecticut).

The current practice location address for Ayodeji Bamidele Olawale is 267 Grant St, Bridgeport, CT and can be reached out via phone at 203-384-3709.

Location: 267 Grant St, Bridgeport, CT, 21133-4662
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Provider Profile Details
NPI Number
1598395725
Provider Name
Ayodeji Bamidele Olawale
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
267 Grant St, Bridgeport, CT, 21133-4662
Phone Number
203-384-3709
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598395725 05 CT
institution
Provider Business Practice Location Address Details
Address
267 Grant St
City
State
Zip
06610-2805
Phone Number
203-384-3709
Fax Number
person
Provider Business Mailing Address Details
Address
267 Grant St
City
State
Zip
06610-2805
Phone Number
203-384-3709
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R210564 (Maryland)
Definition
Definition to come...
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