Victoria Olufunke Adesokan

Individual provider Active NPI Licensed Vocational Nurse · Euless, TX

NPI 1083172357 · NPPES record last updated Mar 6, 2019

Key facts

NPI
1083172357
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
346407 (TX)
Practice address
1341 Monterrey Blvd Apt 172
Euless, TX 76040-6116
Phone
(469) 955-5638
NPI assigned
Mar 6, 2019
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

LicenseStateTypeSpecialty
346407TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 346407 TX Yes

Addresses

Primary practice location

1341 Monterrey Blvd Apt 172
Euless, TX 76040-6116

Mailing address

1341 Monterrey Blvd Apt 172
Euless, TX 76040-6116
Phone (469) 955-5638

Other providers in Euless, TX

All providers in Euless, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.