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

Emmanuel Oluwadare

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902698277

Emmanuel Oluwadare is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Sanctuary Treatment Center PLLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

15640 N 7th St Ste A1
Phoenix, AZ 85022-3520
Phone: (602) 858-0191
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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 APRN-RNP257887 (AZ)

Record details

NPI number1902698277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sanctuary Treatment Center Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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