Provider Demographics
NPI:1629307202
Name:OLUKOYA, FUNMI OLUBUNMI (RN-FNP)
Entity Type:Individual
Prefix:MRS
First Name:FUNMI
Middle Name:OLUBUNMI
Last Name:OLUKOYA
Suffix:
Gender:F
Credentials:RN-FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21802 SILVERPEAK CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5622
Mailing Address - Country:US
Mailing Address - Phone:832-633-3186
Mailing Address - Fax:
Practice Address - Street 1:19255 PARK ROW STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084
Practice Address - Country:US
Practice Address - Phone:281-646-8450
Practice Address - Fax:888-880-7753
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658920163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse