Provider Demographics
NPI:1164292041
Name:ARIYO, DUPE OGUNYEMI (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DUPE
Middle Name:OGUNYEMI
Last Name:ARIYO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:DUPE
Other - Middle Name:OGUNYEMI
Other - Last Name:ARIYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DUPE ARIYO PMHNP-BC
Mailing Address - Street 1:2000 E LAMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7346
Mailing Address - Country:US
Mailing Address - Phone:817-987-3031
Mailing Address - Fax:
Practice Address - Street 1:2000 E LAMAR BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7346
Practice Address - Country:US
Practice Address - Phone:817-987-3031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM77933363LP0808X
AZ305179363LP0808X
TX1145001363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health