Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abidemi Olusanya, PSYCH-NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1528703097

Abidemi Olusanya, PSYCH-NP is a Nurse Practitioner in Dallas, Texas. Qualified in 2021, 5 years ago. Practices with Valera Medical PC, a 161-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

2626 Cole Ave
Dallas, TX 75204-1083
Phone: (469) 613-2110
Fax: (469) 809-7865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 — (817) 292-4600

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1062198 (TX)

Record details

NPI number1528703097
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCH-NP
Sole proprietorYes
NPI enumeratedApril 29, 2022
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Valera Medical Pc — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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