Provider Demographics
NPI:1962176339
Name:ONI, DAVID ABIODUN (PMHNP-BC, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ABIODUN
Last Name:ONI
Suffix:
Gender:M
Credentials:PMHNP-BC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:75604 E REATA RD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-8933
Mailing Address - Country:US
Mailing Address - Phone:509-778-0005
Mailing Address - Fax:
Practice Address - Street 1:404 BRADLEY BLVD STE RICHLAND
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4498
Practice Address - Country:US
Practice Address - Phone:509-778-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61212361363LP0808X
OR202106873NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health