=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164306551
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DERMANP SOLUTIONS PLLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2025
-----------------------------------------------------
Last Update Date | 12/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3902 NW 14TH CT
-----------------------------------------------------
City | ANKENY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50023-6056
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-657-0645
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3902 NW 14TH CT
-----------------------------------------------------
City | ANKENY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50023-6056
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-657-0645
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | OBEHI ORIAIFO
-----------------------------------------------------
Credential | DNP, FNP-BC, DCNP
-----------------------------------------------------
Telephone | 515-657-0645
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------