Provider Demographics
NPI:1205060043
Name:OMOYE, ATINUKE (DON)
Entity type:Individual
Prefix:
First Name:ATINUKE
Middle Name:
Last Name:OMOYE
Suffix:
Gender:F
Credentials:DON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14827 SNOWSHILL DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7237
Mailing Address - Country:US
Mailing Address - Phone:214-607-8408
Mailing Address - Fax:
Practice Address - Street 1:14827 SNOWSHILL DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7237
Practice Address - Country:US
Practice Address - Phone:214-607-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide