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NPI Code Detail

MEDICARE: TAIWO ADEOLA ELEMUREN NP

MEDICARE: TAIWO ADEOLA ELEMUREN NP
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
1363LP2300XPrimary Care Nurse Practitioner95002413CA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP131133TX
3363L00000XNurse PractitionerAP131133TX
4363L00000XNurse Practitioner95002413CA

General Provider Information

NPI Number : 1215319983
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAIWO ADEOLA ELEMUREN NP
Provider Business Mailing Address
First Line : 6934 ROSALINA LANDING LN
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2322
Country : US
Telephone Number : 323-445-3391
Fax Number :
Provider Business Practice Location Address
First Line : 3200 WILCREST DR STE 170
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3366
Country : US
Telephone Number : 832-271-7168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 11/21/2023

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