Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IBUKUN ODUTOLA
ActiveIBUKUN ODUTOLA is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1801404074 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1801404074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2020 (6.0498179341694 yrs)
- Last Updated
- Jan 15, 2026
- Licenses
-
810773 (NV)244759 (AZ)
Practice Information
- Address
-
3345 N WINDSONG DRPRESCOTT VALLEY, AZ, 863142283Browse AZ providers · Browse ZIP 86314
- Phone
- 9284455211
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN LYNNE FROST | DNP, MC, FPMHNP-BC | 1871859413 |
| CHERYL ANNE WAGNER | ARNP | 1023444049 |
| DIANA LEE LAZENBY | NP | 1912316233 |
| DAVID JENSON | DNP, PMHNP, FNP | 1396126983 |
| COURTNEY K. ROUTSON | PMHNP | 1306415716 |
| LISA MAE DIANE GRAVELINE | PMHNP-BC, APRN-RNP | 1801559984 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.