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1790528560 NPI number — IFEYINWA F ALEGBELEYE FNP

NPI Number: 1790528560
Health Care Provider/Practitioner: IFEYINWA F ALEGBELEYE FNP

Information about “1790528560” NPI (IFEYINWA F ALEGBELEYE FNP) exists in 1790528560 in HTML format HTML  |  1790528560 in plain Text format TXT  |  1790528560 in PDF (Portable Document Format) PDF  |  1790528560 in an XML format XML  formats.

NPI Number : 1790528560 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790528560",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALEGBELEYE",
    "FirstName": "IFEYINWA",
    "MiddleName": "F",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5372 FALLOWATER LN STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROANOKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24018-0909",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-672-3100",
    "MailingAddressFaxNumber": "216-362-0677",
    "FirstLinePracticeLocationAddress": "46531 LEESBURG PIKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STERLING",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20164-3555",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-672-3100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2024",
    "LastUpdateDate": "06/18/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "0024190429",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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