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Ms. Omobolaji Allyson Awoniyi, NP
Nurse Practitioner in Austin, Texas
NPI 1477110443

Omobolaji Allyson Awoniyi is a Nurse Practitioner based in Dallas, TX. Omobolaji Allyson Awoniyi practices in Austin, TX and has the professional credentials of NP. The NPI Number for Omobolaji Allyson Awoniyi is 1477110443 and holds a License No. 95011572 (Texas).

The current practice location address for Omobolaji Allyson Awoniyi is 4100 Duval Rd Ste 200, Austin, TX and can be reached out via phone at 855-876-7246 and via fax at 855-277-5070.

Location: 4100 Duval Rd Ste 200, Austin, TX, 75320-8354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477110443
Provider Name
Omobolaji Allyson Awoniyi
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4100 Duval Rd Ste 200, Austin, TX, 75320-8354
Phone Number
855-876-7246
Fax Number
855-277-5070
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1M9194 01 TX TEXAS MEDICARE PTAN
1M9195 01 TX TEXAS MEDICARE PTAN
1019549 01 TX TEXAS NP LICENSE
1M9200 01 TX TEXAS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4100 Duval Rd Ste 200
City
Austin
State
Texas
Zip
78759-3550
Phone Number
855-876-7246
Fax Number
855-277-5070
person
Provider Business Mailing Address Details
Address
4100 Duval Rd Ste 200
City
Austin
State
Texas
Zip
78759-3550
Phone Number
855-876-7246
Fax Number
855-277-5070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1019549 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95011572 (California)
Definition
Definition to come...
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