MEDICARE: OLUWASETO TREASURE AKINGBULUGBE

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	28267317A	IN

General Provider Information

NPI Number	:	1780541391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWASETO TREASURE AKINGBULUGBE

Provider Business Mailing Address
First Line	:	4910 W 16TH ST STE 102
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-5703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4910 W 16TH ST STE 102
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-5703
Country	:	US
Telephone Number	:	317-603-0442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ OLUWASETO TREASURE AKINGBULUGBE ” Practice Location

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