Individual
LATIFATU OMODOLAPO ADELE IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, MSN, RN
Contact information
Practice address
6100 CORPORATE DR STE 3A, HOUSTON, TX 77036-3419
(832) 831-3183
Mailing address
12002 SEA SHORE DR, HOUSTON, TX 77072-3319
(832) 692-6909
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022138648
TX
Other
Enumeration date
03/03/2023
Last updated
02/23/2024
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