Olubodun Ajibayo Ofakunrin, PMHNP, CNP Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · New Brighton, MN
- NPI
- 1790657633
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 13390 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2025-09-20
- Last updated
- 2025-12-11
Practice location
1900 Silver Lake Rd Nw Ste 110
New Brighton, MN 55112-1789
(651) 628-9566