Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Oluwaseyi Ladipupo Soetan, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932701984

Oluwaseyi Ladipupo Soetan, PMHNP-BC is a Nurse Practitioner in North Dinwiddie, Virginia. Qualified in 2020, 6 years ago. Practices with Crossroads Services Board, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

26317 Washington St
North Dinwiddie, VA 23803-2727
Phone: (540) 204-2459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 591 Oakwood Cir, Petersburg, VA 23805-9339 — (540) 204-2459

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024180400 (VA)

Record details

NPI number1932701984
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedNovember 14, 2020
Last updated in NPPESApril 30, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Crossroads Services Board — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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