Provider Demographics
NPI:1629307202
Name:OLUKOYA, FUNMI OLUBUNMI (ARNP, FNP)
Entity type:Individual
Prefix:MRS
First Name:FUNMI
Middle Name:OLUBUNMI
Last Name:OLUKOYA
Suffix:
Gender:F
Credentials:ARNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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 1:1415 W HOBSONWAY
Practice Address - Street 2:
Practice Address - City:BLYTHE
Practice Address - State:CA
Practice Address - Zip Code:92225-1479
Practice Address - Country:US
Practice Address - Phone:760-922-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658920163W00000X, 363LF0000X
AZ305957363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily