Olufunmilayo Kwentua
Nurse Practitioner, Psych/Mental Health in Gonzales, LA. Individual provider (NPI-1).
NPI number1669167672
StatusActive
Last updated in NPPESApr 6, 2023
Details
- NPI
- 1669167672
- Entity type
- Individual (NPI-1)
- Name
- Olufunmilayo Kwentua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2023
- Certification date
- Apr 6, 2023
- Last updated
- Apr 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 227572 | LA | Yes |
Practice location
14219 Calice StGonzales, LA 70737-5972
Phone 225-803-7593
Mailing address
14219 Calice StGonzales, LA 70737-5972
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