Individual
OLASUMBO T. AFILAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
703 FITZWILLIAM LN, MANSFIELD, TX 76063-4404
(302) 981-8926
Mailing address
703 FITZWILLIAM LN, MANSFIELD, TX 76063-4404
(302) 981-8926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0000499
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP134943
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0100944-C-NP
CO
Other
Enumeration date
07/20/2009
Last updated
09/23/2024
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