Individual provider · NPI-1

Oluwakemi Temitayo Obajuwonlo

Registered Nurse, General Practice · Henderson, NV

NPI number1659971414

StatusActive

Last updated in NPPESAug 15, 2025

Details

NPI: 1659971414
Entity type: Individual (NPI-1)
Name: Oluwakemi Temitayo Obajuwonlo
Sex: Female
Sole proprietor: No
Enumeration date: Oct 29, 2020
Certification date: Aug 15, 2025
Last updated: Aug 15, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WG0000X	Registered Nurse, General Practice	818969	NV	Yes
101YM0800X	Counselor, Mental Health	–	–

Practice location

990 Sierra Ridge St
Henderson, NV 89002-9739

Phone 702-934-0219

Mailing address

4442 Avery Park Ave
Las Vegas, NV 89110-5488

Phone 702-934-0219

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