Lookup NPI Numbers from the NPI Registry
NPI Profile for DEHEDGRA IDOWU in OAK PARK, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X | |||
Registered Nurse |
163W00000X |
| NPI # | 1609054881 |
|
| Status | Active | |
| Credentials | AGPCNP-BC | |
| Entity | Individual | |
| Enumeration date | 02/09/2008 | |
| Last updated | 10/15/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEHEDGRA IDOWU
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DEHEDGRA IDOWU, AGPCNP-BC