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

Individual provider Family Nurse Practitioner · NPI 1497307458

Titilayo Omonisa is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

9201 E Mountain View Rd
Scottsdale, AZ 85258-5199
Phone: (877) 564-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10327 Louisiana Ave N, Brooklyn Park, MN 55445-3800 — (763) 222-5070

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6550 (MN)

Record details

NPI number1497307458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2019
Last updated in NPPESJuly 10, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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