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NPI Code Detail

MEDICARE: BUSAYO BOSE OBIGBESAN MBR

MEDICARE:   BUSAYO BOSE OBIGBESAN  MBR
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
1163WP0808XPsychiatric/Mental Health Registered Nurse1638688CO
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0995514-NPCO

General Provider Information

NPI Number : 1497116545
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUSAYO BOSE OBIGBESAN MBR
Provider Business Mailing Address
First Line : 1870 W 122ND AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-2024
Country : US
Telephone Number : 303-853-3500
Fax Number : 303-853-3702
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 4500
Second Line :
City : DENVER
State : CO
Zip : 80207-2310
Country : US
Telephone Number : 303-459-5909
Fax Number : 720-229-1079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2016
Last Update Date : 04/25/2024

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Directions to “ BUSAYO BOSE OBIGBESAN MBR” Practice Location

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