Individual
ADIAH DIONNE OYEFESOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
114 BRADY CT, CARY, NC 27511-4554
(336) 343-9164
(336) 450-1770
Mailing address
910 BEECH GLEN DR, MEBANE, NC 27302-6086
(336) 343-9164
(336) 450-1770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP117884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198502001
—
TX
05
—
198502002
—
TX
05
—
198502003
—
TX
05
—
198502004
—
TX
05
—
198502005
—
TX
05
—
198502006
—
TX
05
—
198502007
—
TX
05
—
198502008
—
TX
05
—
198502009
—
TX
05
—
198502010
—
TX
05
—
198502012
—
TX
01
—
830N92
BCBS
TX
01
—
8Y9483
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/04/2009
Last updated
12/20/2022
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