Igboanugo, Ifeanyi Emmanuel

Igboanugo, Ifeanyi Emmanuel is an individual health care provider with primary practice located at 15351 W Bell Rd , Surprise AZ 85374-4580. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Igboanugo, Ifeanyi Emmanuel can be contacted via phone (480) 964-2273.

Contact Information

Primary practice address
15351 W Bell Rd Surprise AZ 85374-4580
Phone: (480) 964-2273
Fax: (623) 214-5214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP10856 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP10856 Arizona

Profile Details

NPI number 1396252037
LBN Legal business name Igboanugo, Ifeanyi Emmanuel
Credentials MPH, MSN, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2018
Last updated Dec 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396252037 NPPES
Arizona MEDICAID 372652

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