Healthcare Provider Details

I. General information

NPI: 1447648191
Provider Name (Legal Business Name): ESTHER OLAYINKA AWOSOGBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 POPPIE LN
MIDLOTHIAN TX
76065-2798
US

IV. Provider business mailing address

821 POPPIE LN
MIDLOTHIAN TX
76065-2798
US

V. Phone/Fax

Practice location:
  • Phone: 347-335-4884
  • Fax:
Mailing address:
  • Phone: 347-335-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN95365749
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number00463038
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1045895
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number343451850813E
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number343451850813E
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number00463038
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number968544
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: