Phillipa Ifeoma Modebelu RN/NP

NPI 1053647461 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053647461
Gender Female
Enumeration Date 10/20/2009
Last Updated 07/01/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
801 N TARRANT PKWY
KELLER TX, 76248-6860, US
Phone (866) 389-2727
Fax
Business Location
801 N TARRANT PKWY
KELLER TX, 76248-6860, US
Phone (866) 389-2727
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Massachusetts
License Number RN233973
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According to our database, Mrs. Phillipa Ifeoma Modebelu RN/NP NPI is 1053647461, taxonomy code is 363LF0000X and license number is RN233973, license state is located at Massachusetts. Phillipa Ifeoma Modebelu RN/NP physically located at 801 N Tarrant Pkwy, Keller TX, 76248-6860. NPI Number Phillipa Ifeoma Modebelu RN/NP has the Individual type.

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1053647461 NPI number is provided on an as is basis without warranty of any kind. 1053647461 is maintained by the National Plan & Provider Enumeration System. The contents of Phillipa Ifeoma Modebelu RN/NP are for informational purposes only.