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Individual

BUSOLA STELLA AMURAWAIYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1005 W RALPH HALL PKWY STE 227, ROCKWALL, TX 75032-6695
(469) 769-4529
Mailing address
1356 LONE HILL LN, FORNEY, TX 75126-3494
(512) 758-9383

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1001197
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35105
PRESCRIPTIVE AUTHORITY NUMBER
TX
Enumeration date
10/25/2020
Last updated
08/12/2024
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