Olubunmi Olaide Olawale
Nurse Practitioner, Psych/Mental Health in Quincy, MA. Individual provider (NPI-1).
NPI number1669953071
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1669953071
- Entity type
- Individual (NPI-1)
- Name
- Olubunmi Olaide Olawale
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2264640 | MA | Yes |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | RN2264640 | MA |
Practice location
21 Mayor Thomas J McGrath Hwy Ste 306Quincy, MA 02169-5351
Phone 781-742-0834 · Fax 781-459-2666
Mailing address
21 Mayor Thomas J McGrath Hwy Ste 306Quincy, MA 02169-5351
Phone 781-742-0834 · Fax 781-459-2666
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