Individual
OLAPEJU FAKEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W 15TH ST STE 815, PLANO, TX 75075-4208
(972) 673-0404
Mailing address
1255 W 15TH ST STE 815, PLANO, TX 75075-4208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
891088
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1014537
TX
Other
Enumeration date
06/03/2020
Last updated
03/11/2021
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