MRS. OLUBUSOLA TEMIDAYO DARAMOLA NPI 1871842161

NPI Information

NPI: 1871842161
Provider Name: MRS. OLUBUSOLA TEMIDAYO DARAMOLA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
206 WALLS DR
CLEBURNE, TX
ZIP 76033
Phone: (817) 645-0668
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MRS. Olubusola Temidayo Daramola is a family nurse practitioner in Cleburne, TX with 15 years of experience. MRS. Olubusola Temidayo Daramola NPI is 1871842161. 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:

206 WALLS DR
CLEBURNE, TX
ZIP 76033-045
Phone: (817) 645-0668
Fax: (817) 645-0720

The NPI 1871842161 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 9/3/2012 and was last updated on 6/2/2013.

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	363LF0000X	Nurse Practitioner	Family	824556	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2035487-04	MEDICAID	TEXAS
2	P01111340	OTHER	TEXAS	RR MEDICARE PTAN
3	DO7564	OTHER	TEXAS	RR GROUP
4	3089625-01	MEDICAID	TEXAS
5	TXB140062	MEDICARE PIN	TEXAS
6	TXB166548	MEDICARE PIN	TEXAS
7	890N47	OTHER	TEXAS	BCBS PTAN

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: 4/28/2024

NPI Synchronization or Removal

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