Individual
ANGELA OLUKITIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
410 NW 11TH ST STE 107, GRAND PRAIRIE, TX 75050-5416
(214) 218-6302
Mailing address
410 NW 11TH ST STE 107, GRAND PRAIRIE, TX 75050-5416
(214) 218-6302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
959507
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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