Iketubosin, Abimbola Datonye

Iketubosin, Abimbola Datonye is an individual health care provider with primary practice located at 15351 W Bell Rd , Surprise AZ 85374-4580. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Iketubosin, Abimbola Datonye can be contacted via phone (877) 809-5092.

Contact Information

Primary practice address
15351 W Bell Rd Surprise AZ 85374-4580
Phone: (877) 809-5092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 95011284 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F08180855 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95011284 California

Profile Details

NPI number 1356841514
LBN Legal business name Iketubosin, Abimbola Datonye
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2018
Last updated May 13th, 2022 - about 2 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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