Healthcare Provider Details

I. General information

NPI: 1518246214
Provider Name (Legal Business Name): OLAYINKA OLAYEMI OSINLOYE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 24TH ST
YUMA AZ
85365-2869
US

IV. Provider business mailing address

22765 E ORION WAY
QUEEN CREEK AZ
85142-2493
US

V. Phone/Fax

Practice location:
  • Phone: 615-668-4485
  • Fax: 480-590-8162
Mailing address:
  • Phone: 480-590-8162
  • Fax: 480-590-8162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP5107
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2021015366
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number187744
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: