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Mrs. Olasimbo Ifasewa Odutayo
Family Nurse Practitioner in Fort Worth, Texas
NPI 1376994566

Olasimbo Ifasewa Odutayo is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Olasimbo Ifasewa Odutayo practices in Fort Worth, TX. The NPI Number for Olasimbo Ifasewa Odutayo is 1376994566 and holds a License No. AP131147 (Texas).

The current practice location address for Olasimbo Ifasewa Odutayo is 308 Autumn Park, Fort Worth, TX and can be reached out via phone at 682-552-3574.

Location: 308 Autumn Park, Fort Worth, TX, 76140-6524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376994566
Provider Name
Olasimbo Ifasewa Odutayo
Credential
Provider Entity Type
Individual
Gender
Female
Address
308 Autumn Park, Fort Worth, TX, 76140-6524
Phone Number
682-552-3574
Fax Number
Provider Enumeration Date
06/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
308 Autumn Park
City
Fort Worth
State
Texas
Zip
76140-6524
Phone Number
682-552-3574
Fax Number
person
Provider Business Mailing Address Details
Address
308 Autumn Park
City
Fort Worth
State
Texas
Zip
76140-6524
Phone Number
682-552-3574
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP131147 (Texas)
Definition
Definition to come...
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