MEDICARE: DONNA RASHAUN ATOBAJEUN DNP, APRN, CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	AP119592	TX

General Provider Information

NPI Number	:	1417236977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA RASHAUN ATOBAJEUN DNP, APRN, CPNP-PC

Provider Business Mailing Address
First Line	:	315 BERRY RD # 1777
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3209
Country	:	US
Telephone Number	:	713-742-8151
Fax Number	:	713-695-2629

Provider Business Practice Location Address
First Line	:	315 BERRY RD # 1777
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3209
Country	:	US
Telephone Number	:	713-742-8151
Fax Number	:	713-695-2629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2011
Last Update Date	:	01/05/2022

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