NPIRadar

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

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