Individual provider · NPI-1

Oluwakemi Suliat Aderibigbe, AGACNP-BC

Nurse Practitioner, Acute Care · Conroe, TX

NPI number1649006289
StatusActive
Last updated in NPPESSep 20, 2024

Details

NPI
1649006289
Entity type
Individual (NPI-1)
Name
Oluwakemi Suliat Aderibigbe
Credential
AGACNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 10, 2024
Certification date
Sep 20, 2024
Last updated
Sep 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care1171298TXYes
363LG0600X Nurse Practitioner, Gerontology1171298TX

Practice location

504 Medical Center Blvd
Conroe, TX 77304-2808

Phone 936-539-1111

Mailing address

504 Medical Center Blvd
Conroe, TX 77304-2808

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