NPI 1417425307

Sunday Omorotiomwan

Practitioner Licensed Practical Nurse Grand Prairie, TX

Practice location

Address: 2815 Pino, Grand Prairie, TX 75054-0109
Phone: (817) 798-0575

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0068284 (OK)

Other Licensed Practical Nurse providers in Texas →

Registry record

NPI: 1417425307
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2018
Record last updated: 8 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.