Provider Demographics
NPI:1952765893
Name:ADEKANMBI, SIMBIAT OLAYINKA (FNP)
Entity type:Individual
Prefix:
First Name:SIMBIAT
Middle Name:OLAYINKA
Last Name:ADEKANMBI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 SHADOW CREEK PKWY
Mailing Address - Street 2:#827
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4821
Mailing Address - Country:US
Mailing Address - Phone:267-255-2648
Mailing Address - Fax:
Practice Address - Street 1:11900 SHADOW CREEK PKWY
Practice Address - Street 2:#827
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4821
Practice Address - Country:US
Practice Address - Phone:267-255-2648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129104363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily