Mofehintoluwa Grace Adewoyin
Individual provider Active NPI Registered Nurse · Midland, TX
NPI 1033722772 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1033722772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 986666 (TX)
- Practice address
- 6819 Ranch Ave
Midland, TX 79705-2425 - Phone
- (432) 770-9253
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 986666 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 986666 | TX | Yes |
Addresses
Primary practice location
6819 Ranch Ave
Midland, TX 79705-2425
Mailing address
6819 Ranch Ave
Midland, TX 79705-2425
Phone (432) 770-9253
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.