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Olubunmi Mutiat Aziaka
Psychiatric/Mental Health Nurse Practitioner in Danville, Illinois
NPI 1912675901

Olubunmi Mutiat Aziaka is a Psychiatric/Mental Health Nurse Practitioner based in Danville, IL and is specialized in Psychiatric/Mental Health. Olubunmi Mutiat Aziaka practices in Danville, IL. The NPI Number for Olubunmi Mutiat Aziaka is 1912675901 and holds a License No. 041358697 (Illinois).

The current practice location address for Olubunmi Mutiat Aziaka is 1900 E Main St, Danville, IL and can be reached out via phone at 217-554-3000 and via fax at 217-554-3370.

Location: 1900 E Main St, Danville, IL, 61832-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912675901
Provider Name
Olubunmi Mutiat Aziaka
Credential
Provider Entity Type
Individual
Gender
Female
Address
1900 E Main St, Danville, IL, 61832-5100
Phone Number
217-554-3000
Fax Number
217-554-3370
Provider Enumeration Date
09/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 E Main St
City
Danville
State
Illinois
Zip
61832-5100
Phone Number
217-554-3000
Fax Number
217-554-3370
person
Provider Business Mailing Address Details
Address
1900 E Main St
City
Danville
State
Illinois
Zip
61832-5100
Phone Number
217-554-3000
Fax Number
217-554-3370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
041358697 (Illinois)
Definition
Definition to come...
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