Osunnuga, Oluyinka Grace

Osunnuga, Oluyinka Grace is an individual health care provider with primary practice located at 1540 Trinity Pl , Mishawaka IN 46545-5006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Osunnuga, Oluyinka Grace can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1540 Trinity Pl Mishawaka IN 46545-5006
Phone: (765) 674-3321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28144611A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71004923A Indiana

Profile Details

NPI number 1033520101
LBN Legal business name Osunnuga, Oluyinka Grace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2014
Last updated Aug 25th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033520101 NPPES
Indiana MEDICAID 201230310

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