Individual
ONIKEPO O OMONIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-5950
Mailing address
514 DOMINION DR, EULESS, TX 76039-1128
(469) 235-6081
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141840
TX
363LA2200X
Adult Health Nurse Practitioner
AP141840
TX
363LG0600X
Gerontology Nurse Practitioner
AP141840
TX
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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