Individual
DR. BOSEDE IWUAMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2106 S 1ST ST, GARLAND, TX 75041-1964
(469) 734-9104
Mailing address
2106 S 1ST ST, GARLAND, TX 75041-1964
(469) 734-9104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1029478
TX
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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