Provider / Organization | NPI | Date Certified |
---|---|---|
BUSOLA STELLA AMURAWAIYE | 1194324640 | 2020-10-25 |
Busola Stella Amurawaiye is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194324640. Registration indicates Busola Stella Amurawaiye is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Busola Stella Amurawaiye FNP-BC |
Practice Office Address | 14232 DALLAS PKWY APT 1614 DALLAS, TX US |
Practice Office Telephone | 5127589383 |
Mailing Address | 14232 DALLAS PKWY APT 1614 DALLAS, TX 752542934 US |
Business Telephone | 5127589383 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 1001197
TX |
35105 | OTHER | TX | PRESCRIPTIVE AU |