Individual
IBUKUN AGNES OYENUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1246 SCOTLAND BLVD, INDIANAPOLIS, IN 46231-5240
(317) 908-3086
Mailing address
1246 SCOTLAND BLVD, INDIANAPOLIS, IN 46231-5240
(317) 908-3086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014202A
IN
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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