Individual provider · Type 1 NPI
Abisoye Ifaseyi Odutayo, FNP-BC
Family Nurse Practitioner · South Houston, TX
NPI number
1679911747
Active
Practice location
1201 S. Alen Genoa Rd
South Houston, TX 77587
Fax (713) 910-0004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP121759 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP121759 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679911747
Abisoye Ifaseyi Odutayo, FNP-BC's National Provider Identifier is 1679911747, issued on Jun 11, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Houston, TX. The record was last updated on Aug 29, 2024.