Adewunmi, Shola
Adewunmi, Shola is an individual health care provider with primary practice located at 6115 Burden Blvd Ste D , Pasco WA 99301-0010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Adewunmi, Shola can be contacted via phone (509) 488-5256.Contact Information
Primary practice address
6115 Burden Blvd Ste D
Pasco WA 99301-0010
Phone: (509) 488-5256
Fax: (509) 488-9939
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AC002778 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61063594 | Washington |
Profile Details
NPI number | 1073168449 |
---|---|
LBN Legal business name | Adewunmi, Shola |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2019 |
Last updated | Jan 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073168449 | NPPES |
Washington | Other | AP61063594 | WA ST. DEPT. OF HEALTH |
Washington | Other | RN61063515 | WA ST. DEPT. OF HEALTH |
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