Desola Mary Efunshile, NURSE

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

329260 Issued in TX

Practice address

5900 Blackburn Dr
Joshua, TX 76058-5427

Phone

(240) 462-3274

NPI assigned

Feb 18, 2018

Last updated

Feb 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1164922944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 NOONTIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761795287",
            "telephone_number": "240-462-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BLACKBURN DR",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760585427",
            "telephone_number": "240-462-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFUNSHILE",
        "first_name": "DESOLA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "329260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene Thomas Dewitt, DDS
• DFW Senior Care Servies
• Deborah Duval, L.AC.
• Kourtney East, OTR
• Marcy D Easter, M.S.CCC-SLP
• Kelley Elizalde
• Kiara Erazo, APRN-CNP
• First Lone Star Pharmacy Group III LLC (Joshua Pharmacy)
• Ailey Ann Folsom, RN, FNP-C
• Russell Daniel Gardner, RPH

• Licensed Vocational Nurse in Joshua, TX
• Providers in Joshua, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2018; 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.