WAHEED OLAWOYIN OLABODE


Address: 12853 S 184th Ave, Goodyear, AZ 85338-2642
Phone: 5033330174

WAHEED OLAWOYIN OLABODE (NPI# 1184197691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184197691
Entity Type Individual
Full Name WAHEED OLAWOYIN OLABODE
Credential NP
Practice Address 12853 S 184th Ave
Goodyear
AZ 85338-2642
Mailing Address 14780 W Mountain View Blvd Ste 110
Surprise
AZ 85374-7280
Practice Telephone 5033330174
Mailing Telephone 6237777973
Enumeration Date 2019-01-08
Last Update Date 2019-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
220581 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers WAHEED OLABODE

NPI Name Taxonomy Address Enumeration
1902142110 Waheed Olabode Home Health Aide 6337 64th Ave, 5, Riverdale, MD 20737 2012-12-14

Office Location

Street Address 12853 S 184TH AVE
City GOODYEAR
State AZ
Zip Code 85338-2642

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1346774916 Vanessa Castillo Specialist/Technologist 18035 W. Yuma Rd, Goodyear, AZ 85338 2017-04-20
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1417206897 Kelly Renee Filo Occupational Therapy Assistant 10189 S. Hacienda Dr., Goodyear, AZ 85338 2012-08-31
1194015545 Nancy Ann Amore Licensed Practical Nurse 15578 W Yuma Road, Goodyear, AZ 85338 2011-04-19
1932409208 Chung Counihan Pharmacist 9890 S Estrella Parkway, Goodyear, AZ 85338 2010-11-02
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City GOODYEAR
Zip Code 85338

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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