Modebelu, Phillipa Ifeoma

Modebelu, Phillipa Ifeoma is an sole proprietor health care provider with primary practice located at 3701 Ira E Woods Ave , Grapevine TX 76051-4213. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Modebelu, Phillipa Ifeoma can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
3701 Ira E Woods Ave Grapevine TX 76051-4213
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP123412 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN233973 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 832072 Texas

Profile Details

NPI number 1053647461
LBN Legal business name Modebelu, Phillipa Ifeoma
Credentials RN/NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2009
Last updated Apr 13th, 2020 - about 5 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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