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Agnes Olaolu Ezekiel, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Grants Pass, Oregon
NPI 1821620840

Agnes Olaolu Ezekiel is a Psychiatric/Mental Health Nurse Practitioner based in Havre, OR and is specialized in Psychiatric/Mental Health. Agnes Olaolu Ezekiel practices in Grants Pass, OR and has the professional credentials of PMHNP-BC. The NPI Number for Agnes Olaolu Ezekiel is 1821620840 and holds a License No. 162006 (Oregon).

The current practice location address for Agnes Olaolu Ezekiel is 1545 Harbeck Rd, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 1545 Harbeck Rd, Grants Pass, OR, 59501-1231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821620840
Provider Name
Agnes Olaolu Ezekiel
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1545 Harbeck Rd, Grants Pass, OR, 59501-1231
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
02/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1545 Harbeck Rd
City
Grants Pass
State
Oregon
Zip
97527-5605
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1545 Harbeck Rd
City
Grants Pass
State
Oregon
Zip
97527-5605
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
162006 (Montana)
Definition
Definition to come...
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