Most Relevant Information
Provider Data
| NPI Number: | 1003527193 |
| Provider Name: | EMELDA OLISAEKE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 1100162 |
Most Important Dates
| Enumeration Date: | 12/08/2022 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
941 YORK DR
DESOTO
TX
751152065
Practice Location Phone/Fax
| Phone: | 9722836286 |
| Fax: |
Provider Mailing Location
3100 KIRBY LANE
CRANDALL
TX
75126
Provider Mailing Phone/Fax
| Phone: | 9725136044 |
| Fax: |