BOSEDE OGIDAN-OBADINA


Address: 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189
Phone: 9283362165

BOSEDE OGIDAN-OBADINA (NPI# 1356833784) 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) 1356833784
Entity Type Individual
Full Name BOSEDE OGIDAN-OBADINA
Credential APRN
Practice Address 2451 S Avenue A Ste A104
Yuma
AZ 85364-7189
Mailing Address 2400 S Avenue A
Yuma
AZ 85364-7170
Practice Telephone 9283362165
Practice Fax Number 9283362174
Mailing Telephone 9283442000
Enumeration Date 2018-06-01
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
224735 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP137658 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
16135 Eaglewood Spring Ct, Houston, TX 770835054 8322087495

Office Location

Street Address 2451 S AVENUE A STE A104
City YUMA
State AZ
Zip Code 85364-7189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801203682 Amrita Kaur Sabharwal Internal Medicine 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 2014-07-14
1023667862 Mario Vazquez Nurse Practitioner 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 2019-09-04
1497108633 Deborah Michelle Shubick Nurse Practitioner 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 2016-07-22
1699179002 Soba Iyeimo Physician Assistant 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 2014-10-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093315939 Smile Straight Orthodontics-yuma Pllc Dentist 2283 W 24th Street, Suite 120, Yuma, AZ 85364 2020-10-29
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1144846999 Surur Nader Sharif Student in an Organized Health Care Education/Training Program Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 2020-06-17
1710533211 Erika White Specialist/Technologist 3150 S Ave A, Yuma, AZ 85364 2019-08-12
1851950281 Yuma Advanced Surgical Suites LLC Clinic/Center 1030 W 24th Street Suite H, Yuma, AZ 85364 2019-06-10
1558846139 West Genevieve Home Care Home Health 1545 S 14th Ave, Com1, Yuma, AZ 85364 2018-09-28
1801375597 Rebecca L Conover Occupational Therapy Assistant Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 2018-08-13
1861984791 Thomas Francisco Burrell Pharmacist 1150 W 8th Street, Yuma, AZ 85364 2018-06-06
1356833834 Elizabeth Schlenner Nurse Practitioner 2637 S 34th Ave, Yuma, AZ 85364 2018-05-31
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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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NPI Name Taxonomy Address Enumeration
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1760090427 Debra Shannon Witthar Nurse Practitioner 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 2020-07-20
1255955506 Christy J Holloway Nurse Practitioner 2645 E Southern Ave, Tempe, AZ 85282-7649 2020-06-02
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1508381880 Marcie Marie Camblin Nurse Practitioner 16551 N Naegel Dr, Surprise, AZ 85374-5411 2017-08-08
1508105727 Geriatric Health Services, Plc Nurse Practitioner 1013 W Longhorn Rd, Payson, AZ 85541-4282 2013-02-07
1194070227 Debra Rouse Haber Nurse Practitioner 755 S Grapevine Loop, Benson, AZ 85602-7430 2012-07-15
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Competitor

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City YUMA
Zip Code 85364

Improve Information

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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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