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NPI Code Detail

MEDICARE: DIEPREYE OMIEBA AKUIYIBO APRN

MEDICARE:   DIEPREYE OMIEBA AKUIYIBO  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1201342TX
2163W00000XRegistered Nurse919999TX

General Provider Information

NPI Number : 1942092671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEPREYE OMIEBA AKUIYIBO APRN
Provider Business Mailing Address
First Line : 1525 MERIDIAN DR APT 2910
Second Line :
City : IRVING
State : TX
Zip : 75038-3256
Country : US
Telephone Number : 817-707-8446
Fax Number :
Provider Business Practice Location Address
First Line : 1525 MERIDIAN DR APT 2910
Second Line :
City : IRVING
State : TX
Zip : 75038-3256
Country : US
Telephone Number : 817-707-8446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 01/14/2026

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