Individual
BABATUNDE T SHITTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3036 LARRETA, GRAND PRAIRIE, TX 75054-6794
(817) 217-0662
Mailing address
3036 LARRETA, GRAND PRAIRIE, TX 75054-6794
(817) 217-0662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP144911
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144911
TX
Other
Enumeration date
01/16/2020
Last updated
08/30/2024
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