Individual
FUNMILAYO AGNES AFOLAMI-IYOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-BC
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
Mailing address
13716 CORTES DE PALLAS DR, LITTLE ELM, TX 75068-0829
(469) 831-3196
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
886750
TX
363L00000X
Nurse Practitioner
1103209
TX
363LA2200X
Adult Health Nurse Practitioner
1103209
TX
363LG0600X
Gerontology Nurse Practitioner
1103209
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1103209
TX
Other
Enumeration date
03/15/2023
Last updated
07/12/2023
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