Provider Demographics
NPI:1366113433
Name:OYEWALE, SARAH (LVN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:OYEWALE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 DALGONER LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7513
Mailing Address - Country:US
Mailing Address - Phone:737-600-7997
Mailing Address - Fax:
Practice Address - Street 1:216 DALGONER LN
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-7513
Practice Address - Country:US
Practice Address - Phone:737-600-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342852164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse