Olufunmilayo Oluwayemisi Ifanse

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

724698 Issued in TX

Practice address

10631 Farmersville FRK
Missouri City, TX 77459-2598

Phone

(281) 636-9800

NPI assigned

Jan 17, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1023607660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 FARMERSVILLE FRK",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592598",
            "telephone_number": "281-636-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 FARMERSVILLE FRK",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592598",
            "telephone_number": "281-636-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFANSE",
        "first_name": "OLUFUNMILAYO",
        "middle_name": "OLUWAYEMISI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "724698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Care Providers,Inc.
• Ideal Vision Care PLLC
• Edith Idehen
• Faith Idiegbe
• Violet I Idokogi
• Ashley Igwe
• Olisaemeka Charles Igwegbe
• Dorothy Ngozi Iheanacho
• Jane Ijoma, PHARMD
• Chukwuka Annedozie Ike

• Medical-Surgical Registered Nurse in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.