Provider Demographics
NPI:1447863048
Name:AKINDUNBI, OLUWATOSIN (APN)
Entity type:Individual
Prefix:
First Name:OLUWATOSIN
Middle Name:
Last Name:AKINDUNBI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:OLUWATOSIN
Other - Middle Name:
Other - Last Name:AKINDUNBI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:14 MARLBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2020
Mailing Address - Country:US
Mailing Address - Phone:973-393-4068
Mailing Address - Fax:973-200-8137
Practice Address - Street 1:14 MARLBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2020
Practice Address - Country:US
Practice Address - Phone:973-393-4068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18504900163W00000X
NJ26NJ01287400363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse