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NPI Code Detail

MEDICARE: FRIDAY OGHENERO IROROBEJE NP

MEDICARE: FRIDAY OGHENERO IROROBEJE NP
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 PractitionerAPRN001681NV
2363LG0600XGerontology Nurse PractitionerAPRN001681NV
3363LP2300XPrimary Care Nurse PractitionerAPRN001681NV
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN001681NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902217656
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRIDAY OGHENERO IROROBEJE NP
Provider Business Mailing Address
First Line : 3399 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3312
Country : US
Telephone Number : 702-444-0438
Fax Number : 725-240-7735
Provider Business Practice Location Address
First Line : 3399 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3312
Country : US
Telephone Number : 702-444-0438
Fax Number : 725-240-7735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2014
Last Update Date : 01/07/2026

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