Individual provider · NPI-1

Sadiat Omowunmi Adebiyi, APRN

Nurse Practitioner, Family · Columbia, MO

NPI number1811627672
StatusActive
Last updated in NPPESDec 26, 2023

Details

NPI
1811627672
Entity type
Individual (NPI-1)
Name
Miss Sadiat Omowunmi Adebiyi
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 14, 2022
Certification date
Dec 26, 2023
Last updated
Dec 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2023003901MOYes
363LF0000X Nurse Practitioner, Family31873TN

Other names

  • Sadiat Omowunmi Popoola (Former Name)

Practice location

1600 E Broadway
Columbia, MO 65201-5844

Phone 573-815-8000

Mailing address

1600 E Broadway
Columbia, MO 65201-5844

Phone 573-815-8000

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