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NPI Code Detail

MEDICARE: OLAWALE J FREEMAN PMHNP-BC

MEDICARE: OLAWALE J FREEMAN PMHNP-BC
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 Practitioner819612NV
2363LP0808XPsychiatric/Mental Health Nurse Practitioner298408AZ

General Provider Information

NPI Number : 1710765805
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLAWALE J FREEMAN PMHNP-BC
Provider Business Mailing Address
First Line : 1633 KARST POND AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-4036
Country : US
Telephone Number : 216-978-0247
Fax Number :
Provider Business Practice Location Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 216-618-1911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 06/11/2026

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Directions to “ OLAWALE J FREEMAN PMHNP-BC” Practice Location

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