Individual
DR. OLUWAKEMI ABOSEDE BIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
777 MAIN ST, FORT WORTH, TX 76102-5304
(877) 969-6863
Mailing address
5205 RUGGED AVE, FORT WORTH, TX 76179-7348
(817) 503-5651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1141224
TX
363LA2100X
Acute Care Nurse Practitioner
1141224
TX
363LA2200X
Adult Health Nurse Practitioner
1141224
TX
363LG0600X
Gerontology Nurse Practitioner
1141224
TX
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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