Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP120098 | TX |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | CNP01901 | NM |
NPI | 1033389994 |
---|---|
Provider Name | Mrs. Florence Folaranmi Oni |
First Address | Irving, TX 75038-2220 |
Second Address | Bedford, TX 76021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2008 |
Last Update Date | 24/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AP120098 | LICENSE (01) | TX |