Individual provider · Type 1 NPI
Olasimbo Ifasewa Odutayo
Family Nurse Practitioner · Houston, TX
NPI number
1376994566
Active
Practice location
9401 Southwest Fwy
Houston, TX 77074-1407
Mailing address
308 Autumn Park
Fort Worth, TX 76140-6524
Other practice locations
- 308 Autumn Park, Fort Worth, TX 76140-6524 · (682) 552-3574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP131147 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376994566
Olasimbo Ifasewa Odutayo's National Provider Identifier is 1376994566, issued on Jun 29, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Jan 22, 2025.