Healthcare Provider Details

I. General information

NPI: 1578306031
Provider Name (Legal Business Name): ABIBAT ORIYOMI OKOYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WHEELING ST
AURORA CO
80045-7211
US

IV. Provider business mailing address

10731 TRUCKEE CIR
COMMERCE CITY CO
80022-8938
US

V. Phone/Fax

Practice location:
  • Phone: 720-288-6970
  • Fax:
Mailing address:
  • Phone: 720-288-6970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1664724
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1000725-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: