Individual
ABIDEMI OLUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH-NP
Contact information
Practice address
2626 COLE AVE, DALLAS, TX 75204-1083
(469) 613-2110
(469) 809-7865
Mailing address
2626 COLE AVE, DALLAS, TX 75204-1083
(469) 613-2110
(469) 809-7865
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1062198
TX
Other
Enumeration date
04/29/2022
Last updated
07/11/2024
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