Individual
BOSEDE EHIOBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1110 COTTONWOOD LN STE 160, IRVING, TX 75038-6117
(469) 923-5870
(469) 923-5880
Mailing address
1110 COTTONWOOD LN STE 160, IRVING, TX 75038-6117
(469) 923-5870
(469) 923-5880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP141050
LICENSE NUMBER
TX
Enumeration date
03/19/2019
Last updated
07/23/2026
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