Individual
ENITAN ADEBAYO SHIJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, CRNA
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(214) 545-2308
Mailing address
3507 WALNUT RIDGE DR, MIDLOTHIAN, TX 76065-5378
(214) 545-2308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1054626
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1054626
TX
367500000X
Certified Registered Nurse Anesthetist
223402
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054626
TEXAS BOARD OF NURSING (APRN) LICENSE
TX
01
—
223402
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
10/13/2021
Last updated
03/30/2026
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