MEDICARE: AMINAT YETUNDE ALAUSA

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	163W00000X	Registered Nurse	1207175	TX

General Provider Information

NPI Number	:	1598475808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINAT YETUNDE ALAUSA

Provider Business Mailing Address
First Line	:	18716 WILLIAMSON AVE
Second Line	:
City	:	SPRINGFIELD GARDENS
State	:	NY
Zip	:	11413-1425
Country	:	US
Telephone Number	:	631-761-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 ROLL CAST DR
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-0705
Country	:	US
Telephone Number	:	718-613-9578
Fax Number	:

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

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	06/01/2026

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Directions to “ AMINAT YETUNDE ALAUSA ” Practice Location

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