MODUPEOLUWA MARIAM ODU-ONIKOSI NPI 1689261513

NPI Information

NPI: 1689261513
Provider Name: MODUPEOLUWA MARIAM ODU-ONIKOSI
Classification: Clinical Nurse Specialist - 364SP0810X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Family

PECOS Registration: Yes

Address:
4170 SHAVANO DR
FRISCO, TX
ZIP 75034
Phone: (214) 960-6652
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Modupeoluwa Mariam Odu-onikosi is a psychiatric/mental health and child and family clinical nurse specialist in Frisco, TX with 4 years of experience. Modupeoluwa Mariam Odu-onikosi NPI is 1689261513. 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:

4170 SHAVANO DR
FRISCO, TX
ZIP 75034-649
Phone: (214) 960-6652

The NPI 1689261513 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 12/27/2020 and was last updated on 1/14/2021.

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
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	880756	TEXAS	No
2	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	1026808	TEXAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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