Individual
DEINMA IBULUBO
Active
Individual
DEINMA IBULUBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
647036
NY
363L00000X
Nurse Practitioner
SP023507
PA
363LF0000X
Family Nurse Practitioner
Primary
363715
NY
Other
Enumeration date
11/01/2012
Last updated
10/11/2022
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