Omotola Abike Adewuyi
Individual provider Active NPI Registered Nurse · Cheyenne, WY
NPI 1245174374 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1245174374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 45303 (WY)
- Practice address
- 5059 Minuteman Dr
Cheyenne, WY 82001-8621 - Phone
- (240) 315-4173
- NPI assigned
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45303 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 45303 | WY | Yes |
Addresses
Primary practice location
5059 Minuteman Dr
Cheyenne, WY 82001-8621
Mailing address
5059 Minuteman Dr
Cheyenne, WY 82001-8621
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.