Individual
DR. STEPHANIE OMOTAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1626 W HIGHWAY 287 BUSINESS STE 104, WAXAHACHIE, TX 75165-4728
(469) 414-2615
(469) 242-9743
Mailing address
1626 W HIGHWAY 287 BUSINESS STE 104, WAXAHACHIE, TX 75165-4728
(469) 414-2615
(469) 242-9743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP135407
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135407
TX
Other
Enumeration date
12/09/2017
Last updated
06/17/2025
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