Afolashade Bamigbola, NP
Nurse Practitioner, Psych/Mental Health in Dallas, TX. Individual provider (NPI-1).
NPI number1679010052
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1679010052
- Entity type
- Individual (NPI-1)
- Name
- Ms. Afolashade Bamigbola
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2017
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP60957116 | WA | Yes |
| 363LF0000X | Nurse Practitioner, Family | AP132408 | TN |
Practice location
8200 Walnut Hill Ln Ste 830Dallas, TX 75231-4426
Phone 214-345-7999 · Fax 214-345-7942
Mailing address
8200 Walnut Hill Ln Ste 830Dallas, TX 75231-4426
Phone 214-345-7999 · Fax 214-345-7942
Other practice locations
748 Market St
Tacoma, WA 98402-3737
Tacoma, WA 98402-3737
Phone 872-222-5080
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