MISS COMFORT BOSEDE SOFAYO


Address: 2506 Kingston St, Apt 2, Houston, TX 77019
Phone: 7739645325

MISS COMFORT BOSEDE SOFAYO (NPI# 1619445368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619445368
Entity Type Individual
Full Name MISS COMFORT BOSEDE SOFAYO
Other Name COMFORT BOSEDE ADEBOJE
Credential FNP-BC
Practice Address 2506 Kingston St
Apt 2
Houston
TX 77019
Mailing Address 2506 Kingston St Apt 2
Houston
TX 77019-6606
Practice Telephone 7739645325
Mailing Telephone 7739645325
Enumeration Date 2018-11-09
Last Update Date 2018-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP139630 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2506 KINGSTON ST
APT 2
City HOUSTON
State TX
Zip Code 77019

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1851908610 Iyobo Elegon Nurse Practitioner 8511 Dawnridge Dr, Houston, TX 77071-2441 2020-09-25
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Competitor

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City HOUSTON
Zip Code 77019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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