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NPI Code Detail

MEDICARE: MRS. OLUFUNMILOLA KEHINDE ATANDEYI FNP

MEDICARE:  MRS. OLUFUNMILOLA KEHINDE ATANDEYI  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
1363LF0000XFamily Nurse Practitioner004115CT
2363LF0000XFamily Nurse Practitioner747246TX

General Provider Information

NPI Number : 1376774091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. OLUFUNMILOLA KEHINDE ATANDEYI FNP
Provider Business Mailing Address
First Line : 1908 N LAURENT ST STE 250
Second Line :
City : VICTORIA
State : TX
Zip : 77901-5417
Country : US
Telephone Number : 361-576-0694
Fax Number :
Provider Business Practice Location Address
First Line : 1341 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6427
Country : US
Telephone Number : 713-468-7821
Fax Number : 713-973-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2009
Last Update Date : 01/07/2026

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Directions to “ MRS. OLUFUNMILOLA KEHINDE ATANDEYI FNP” Practice Location

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