Provider Demographics
NPI:1659996817
Name:ADIGUN, KAFAYAT T (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:KAFAYAT
Middle Name:T
Last Name:ADIGUN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 ALLISA ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4625
Mailing Address - Country:US
Mailing Address - Phone:713-240-3774
Mailing Address - Fax:
Practice Address - Street 1:1011 ALLISA ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4625
Practice Address - Country:US
Practice Address - Phone:713-240-3774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-13
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX825273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily