Individual provider · Type 1 NPI
Oluwatosin Fakorede
Psychiatric/Mental Health Nurse Practitioner · San Antonio, TX
NPI number
1497614481
Active
Practice location
6609 Blanco Rd
San Antonio, TX 78216-6152
Mailing address
8415 Hamrick Cir
San Antonio, TX 78252-2885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1094804 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497614481
Oluwatosin Fakorede's National Provider Identifier is 1497614481, issued on Jan 16, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Antonio, TX. The record was last updated on Jan 16, 2026.