Olasumbo T. Afilaka, CFNP
Nurse Practitioner, Psych/Mental Health in Mansfield, TX. Individual provider (NPI-1).
NPI number1568692986
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1568692986
- Entity type
- Individual (NPI-1)
- Name
- Olasumbo T. Afilaka
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2009
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | C-APN.0100944-C-NP | CO | Yes |
| 363L00000X | Nurse Practitioner | LG-0000499 | DE | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP134943 | TX |
Practice location
703 Fitzwilliam LnMansfield, TX 76063-4404
Phone 302-981-8926
Mailing address
703 Fitzwilliam LnMansfield, TX 76063-4404
Phone 302-981-8926
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