BAMIDELE GANIYU

COLUMBIA, MO
NPI1073155933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2020002143)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MO  2020002143)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KS  83508)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-10-11
Last Update Date2024-11-19
Business Address
BAMIDELE GANIYU
2101 CORONA RD STE 102
COLUMBIA, MO 65203-2582
Phone number: 573-234-1800
Mailing Address
BAMIDELE GANIYU
616 DEREK DR
WENTZVILLE, MO 63385-6841
Phone number: 314-960-4106