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Individual

AMAKA OPUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
5959 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-9012
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 648-9012

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP133632
TX
363LA2100X
Acute Care Nurse Practitioner
COA.13362-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072176
OH
Enumeration date
07/03/2012
Last updated
08/26/2019
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