Healthcare Provider Details

I. General information

NPI: 1134033848
Provider Name (Legal Business Name): YEMI ARUNSI RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 BUTTERNUT RD
WHITE RIVER JUNCTION VT
05001-7126
US

IV. Provider business mailing address

314 BUTTERNUT RD
WHITE RIVER JUNCTION VT
05001-7126
US

V. Phone/Fax

Practice location:
  • Phone: 801-920-3156
  • Fax:
Mailing address:
  • Phone: 801-920-3156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12630524-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: