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Individual
DR. MODUPE AGBEYOMI
Active
Individual
DR. MODUPE AGBEYOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
F09180151
GA
363LP2300X
Primary Care Nurse Practitioner
F09180151
GA
363LS0200X
School Nurse Practitioner
F09180151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F09180151
—
GA
Enumeration date
09/28/2018
Last updated
11/29/2023
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