MEDICARE: YETUNDE OMONOLA AKIWOWO FNP

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	363L00000X	Nurse Practitioner	1032182	TX

General Provider Information

NPI Number	:	1871177824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YETUNDE OMONOLA AKIWOWO FNP

Provider Business Mailing Address
First Line	:	1615 HILLENDAHL BLVD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3416
Country	:	US
Telephone Number	:	713-462-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 HILLENDAHL BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3402
Country	:	US
Telephone Number	:	713-462-6565
Fax Number	:

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

Provider Enumeration Date	:	05/06/2021
Last Update Date	:	01/28/2026

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