Active NPIIndividual provider

Olufunmilayo A Adesanlu

Nurse Practitioner, Psych/Mental Health in Woodbridge, New Jersey

NPI Number1609388222
Practice location
367 Berry St Ste 104, Woodbridge, NJ 07095-3341
Fax
—
Last updated
December 19, 2024

Olufunmilayo Abimbola Adesanlu is a Nurse Practitioner, Psych/Mental Health based in Woodbridge, NJ. Olufunmilayo Abimbola Adesanlu practices in Woodbridge, NJ. The NPI Number for Olufunmilayo Abimbola Adesanlu is 1609388222 and holds a License No. 1000108 (TX). The current practice location address for Olufunmilayo Abimbola Adesanlu is 367 Berry St Ste 104, Woodbridge, NJ 07095-3341 and can be reached out via phone at 848-309-5141.

Provider Profile Details

NPI Number
1609388222
Provider Name
Olufunmilayo Abimbola Adesanlu
Provider Entity Type
Individual
Gender
Female
Address
367 Berry St Ste 104, Woodbridge, NJ 07095-3341
Phone Number
848-309-5141
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2017
Last Update Date
December 19, 2024
Certification Date
December 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
367 Berry St Ste 104
Woodbridge, NJ 07095-3341
Zip
07095-3341
Phone Number
848-309-5141
Woodbridge, NJ 07095Get directions →

Provider Business Mailing Address Details

Address
15 Rector Ave
Woodbridge, NJ 07095-3325
City
Woodbridge
State
NJ
Zip
07095-3325
Phone Number
848-309-5141

License Information

License Number (1)
1000108
License State (1)
TX
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
402321
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
26NJ00775300
License State (3)
NJ
Taxonomy (3)
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 Olufunmilayo A Adesanlu?

The NPI number of Olufunmilayo A Adesanlu is 1609388222. It was assigned on November 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Olufunmilayo A Adesanlu?

Olufunmilayo A Adesanlu is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in TX under license number 1000108.

Where does Olufunmilayo A Adesanlu practice?

The practice location is 367 Berry St Ste 104, Woodbridge, NJ 07095-3341. The office can be reached at 848-309-5141 (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 1609388222 directly on the NPPES registry website.

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