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

Uhunoma Lysa Osadolor

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295314391

Uhunoma Lysa Osadolor is a Nurse Practitioner in Golden Valley, Minnesota. Qualified in 2021, 5 years ago. Practices with Optimal Brain Mn PLLC, a 20-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021

Practice location Address checks out

1710 Douglas Dr N Ste 204
Golden Valley, MN 55422-4387
Phone: (612) 584-9629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8149 (MN)

Record details

NPI number1295314391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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 Optimal Brain Mn Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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