Individual
ABIOLA OYENWEN IZEKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MISSION ST, SAN FRANCISCO, CA 94105-0920
(940) 882-1836
Mailing address
5524 BEE CAVES RD STE K4, WEST LAKE HILLS, TX 78746-5247
(512) 710-0551
(512) 717-6337
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1083942
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451119803
—
TX
Enumeration date
06/15/2022
Last updated
09/10/2023
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