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NPI Code Detail

MEDICARE: ABIOLA OYEMADE PMHNP

MEDICARE: ABIOLA OYEMADE PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner265264AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP137533TX

General Provider Information

NPI Number : 1417454992
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIOLA OYEMADE PMHNP
Provider Business Mailing Address
First Line : 3450 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2331
Country : US
Telephone Number : 502-351-6985
Fax Number : 502-351-6990
Provider Business Practice Location Address
First Line : 3450 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2331
Country : US
Telephone Number : 602-351-6986
Fax Number : 603-351-6000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 12/10/2025

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