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Modupe Olatunde
Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, Texas
NPI 1063059756

Modupe Olatunde is a Psychiatric/Mental Health Nurse Practitioner based in Grand Prairie, TX and is specialized in Psychiatric/Mental Health. Modupe Olatunde practices in Grand Prairie, TX. The NPI Number for Modupe Olatunde is 1063059756 and holds a License No. AP143862 (Texas).

The current practice location address for Modupe Olatunde is 1020 S. Carrier Pwky, Grand Prairie, TX and can be reached out via phone at 214-743-1200.

Location: 1020 S. Carrier Pwky, Grand Prairie, TX, 75052-0409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063059756
Provider Name
Modupe Olatunde
Credential
Provider Entity Type
Individual
Gender
Female
Address
1020 S. Carrier Pwky, Grand Prairie, TX, 75052-0409
Phone Number
214-743-1200
Fax Number
Provider Enumeration Date
12/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1020 S. Carrier Pwky
City
Grand Prairie
State
Texas
Zip
75051
Phone Number
214-743-1200
Fax Number
person
Provider Business Mailing Address Details
Address
1020 S. Carrier Pwky
City
Grand Prairie
State
Texas
Zip
75051
Phone Number
214-743-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP143862 (Texas)
Definition
Definition to come...
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