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Individual
ELIZABETH ADEBAYO
Active
Individual
ELIZABETH ADEBAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
807558
TX
363LF0000X
Family Nurse Practitioner
AP141489
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP141489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659871168
MEDICARE
—
Enumeration date
02/20/2018
Last updated
01/19/2022
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