OLUWADEMILADE O EVBUOMWAN (NPI# 1730688151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730688151 |
| Entity Type | Individual |
| Full Name | OLUWADEMILADE O EVBUOMWAN |
| Credential | FNP-BC |
| Practice Address |
400 Shadow Mountain Dr El Paso TX 79912-4030 |
| Mailing Address |
1335 Geronimo Dr El Paso TX 79925-1836 |
| Practice Telephone | 9155912704 |
| Practice Fax Number | 9152250413 |
| Mailing Telephone | 9155912704 |
| Mailing Fax Number | 9152250413 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F12170042 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 SHADOW MOUNTAIN DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558725895 | Elizabeth Osaade | Nurse Practitioner | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2016-04-13 |
| 1982260048 | Kate Eunhyang Jin | Nurse Practitioner | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2019-05-14 |
| 1164087904 | Myra Ivette Robles | Nurse Practitioner | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2019-05-07 |
| 1740772235 | Sydney Elizabeth Owens Rasmussen | Physician Assistant | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2018-05-31 |
| 1831601491 | Hannah Grace Moffitt | Nurse Practitioner | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2017-11-03 |
| 1447773338 | Cresilda Juarez Yuson | Nurse Practitioner | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2017-07-21 |
| 1396284592 | Kimberlee Mack | Physician Assistant | 400 Shadow Mountain Dr, El Paso, TX 79912-4030 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1568062172 | Cinthia B Gomez | Nurse Practitioner | 8401 Edgemere Blvd, El Paso, TX 79925-3922 | 2020-11-01 |
| 1407456072 | Aurora Nichole Apodaca | Nurse Practitioner | 748 Tepic Dr, El Paso, TX 79912-1704 | 2020-10-31 |
| 1043818412 | Ricardo Serrano | Nurse Practitioner | 4300 Bliss Ave, El Paso, TX 79903-1832 | 2020-10-16 |
| 1841897212 | Olivia Silva Juarez | Nurse Practitioner | 617 Paseo Hermoso Dr, El Paso, TX 79928-8419 | 2020-10-07 |
| 1609480540 | Norma M Vega | Nurse Practitioner | 6974 Gateway Blvd E Ste Y, El Paso, TX 79915-1118 | 2020-09-08 |
| 1952914087 | Danika Nikole Davila | Nurse Practitioner | 3270 Joe Battle Blvd Ste 245, El Paso, TX 79938-2651 | 2020-08-28 |
| 1841803095 | Joshua Neal Crawford | Nurse Practitioner | 10615 Sombra Verde Dr, El Paso, TX 79935-3612 | 2020-08-27 |
| 1902419294 | Belinda Esperanza Walker | Nurse Practitioner | 3405 Moonlight Ave, El Paso, TX 79904-1024 | 2020-08-26 |
| 1487264198 | Venessa Jean Tellez | Nurse Practitioner | 10800 Walden Pond St, El Paso, TX 79924-2407 | 2020-08-06 |
| Find all providers in EL PASO | ||||
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| 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.