Fadekemi S Olude, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Mamaroneck, New York
1639766199- Practice location
- 444 E Boston Post RD, Mamaroneck, NY 10543-3708
- Phone
- 713-291-8625
- Fax
- —
- Last updated
- August 7, 2024
Fadekemi Suliat Olude is a Nurse Practitioner, Psych/Mental Health based in Mamaroneck, NY. Fadekemi Suliat Olude practices in Mamaroneck, NY and has the professional credentials of APRN, PMHNP-BC. The NPI Number for Fadekemi Suliat Olude is 1639766199 and holds a License No. 1023087 (TX). The current practice location address for Fadekemi Suliat Olude is 444 E Boston Post RD, Mamaroneck, NY 10543-3708 and can be reached out via phone at 713-291-8625.
Provider Profile Details
- NPI Number
- 1639766199
- Provider Name
- Fadekemi Suliat Olude
- Credential
- APRN, PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 444 E Boston Post RD, Mamaroneck, NY 10543-3708
- Phone Number
- 713-291-8625
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 30, 2020
- Last Update Date
- August 7, 2024
- Certification Date
- August 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 444 E Boston Post RD
Mamaroneck, NY 10543-3708 - City
- Mamaroneck
- State
- New York
- Zip
- 10543-3708
- Phone Number
- 713-291-8625
Provider Business Mailing Address Details
- Address
- 3449 Ava Dr
Midlothian, TX 76065-2274 - City
- Midlothian
- State
- TX
- Zip
- 76065-2274
- Phone Number
- 713-291-8625
License Information
- License Number (1)
- 1023087
- License State (1)
- TX
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- C-APN.0003755-C-NP
- License State (2)
- CO
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (3)
- 403381
- License State (3)
- NY
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
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 Fadekemi S Olude, APRN, PMHNP-BC?
The NPI number of Fadekemi S Olude, APRN, PMHNP-BC is 1639766199. It was assigned on December 30, 2020 and is currently active in the NPPES registry.
What is the specialty of Fadekemi S Olude, APRN, PMHNP-BC?
Fadekemi S Olude, APRN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in TX under license number 1023087.
Where does Fadekemi S Olude, APRN, PMHNP-BC practice?
The practice location is 444 E Boston Post RD, Mamaroneck, NY 10543-3708. The office can be reached at 713-291-8625 (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 1639766199 directly on the NPPES registry website.