Shiyanbola Ajao Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Union, NJ

NPI

1790363653

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

26NJ14933300 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-03-31

Last updated

2023-11-28