ABIDEMI OLUSANYA PSYCH-NP NPI 1528703097

NPI Information

  • NPI: 1528703097
  • Provider Name: ABIDEMI OLUSANYA, PSYCH-NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2626 COLE AVE
    DALLAS, TX
    ZIP 75204
  • Phone: (469) 613-2110

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NPI Details

Abidemi Olusanya, PSYCH-NP is a psychiatric/mental health nurse practitioner in Dallas, TX with 4 years of experience. Abidemi Olusanya, PSYCH-NP NPI is 1528703097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2626 COLE AVE
DALLAS, TX
ZIP 75204-083
Phone: (469) 613-2110
Fax: (469) 809-7865

The NPI 1528703097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2022 and was last updated on 7/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health1062198TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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