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NPI Code Detail

MEDICARE: MS. PEACE IHENOSEN AYO-AMU APRN

MEDICARE:  MS. PEACE IHENOSEN AYO-AMU  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
1363LF0000XFamily Nurse Practitioner11010391FL

General Provider Information

NPI Number : 1306525084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PEACE IHENOSEN AYO-AMU APRN
Provider Business Mailing Address
First Line : 10901 BRIGHTON BAY BLVD NE APT 10208
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33716-3459
Country : US
Telephone Number : 813-331-9074
Fax Number :
Provider Business Practice Location Address
First Line : 6506 EMBASSY BLVD
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-4734
Country : US
Telephone Number : 727-378-2987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2023
Last Update Date : 07/11/2023

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Directions to “ MS. PEACE IHENOSEN AYO-AMU APRN” Practice Location

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