Individual provider · Type 1 NPI
Oluyemi Shorunke
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1053860148
Active
Practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Mailing address
PO Box 2603
Fort Worth, TEXAS 76113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 000000 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053860148
Oluyemi Shorunke's National Provider Identifier is 1053860148, issued on Sep 29, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on May 1, 2023.