Individual
OLAJUMOKE BASARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA,MSN, APRN,AGNP-C
Contact information
Practice address
13284 POND SPRINGS RD, AUSTIN, TX 78729-7177
(615) 766-8003
Mailing address
13284 POND SPRINGS RD, AUSTIN, TX 78729-7177
(615) 766-8003
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1205482
TX
Other
Enumeration date
07/03/2025
Last updated
07/04/2025
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