Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bolatito Oyeronke Okougbo, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063095503

Bolatito Oyeronke Okougbo, NP is a Nurse Practitioner in Avondale, Arizona. Qualified in 2021, 5 years ago. Practices with Community Bridges Inc, a 107-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10926 W Ivory Ln
Avondale, AZ 85392-4025
Phone: (623) 977-7644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 257217 (AZ)

Record details

NPI number1063095503
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESMay 3, 2021
Certification dateApril 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Bridges Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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