Omotayo, Stephanie

Omotayo, Stephanie is an individual health care provider with primary practice located at 1014 Ferris Ave Ste 108B , Waxahachie TX 75165-2599. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Omotayo, Stephanie can be contacted via phone (469) 414-2615.

Contact Information

Primary practice address
1014 Ferris Ave Ste 108B Waxahachie TX 75165-2599
Phone: (469) 414-2615
Fax: (469) 242-9743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP135407 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP135407 Texas

Profile Details

NPI number 1184139362
LBN Legal business name Omotayo, Stephanie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2017
Last updated Apr 9th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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