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Individual

MR. IQBAL BHUIYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 484-1564
Mailing address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 484-1564

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308585
NC
363LF0000X
Family Nurse Practitioner
308585
NC
363LF0000X
Family Nurse Practitioner
902485
MS
363LF0000X
Family Nurse Practitioner
AP09766
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
308585
NORTH CAROLINA LICENSE NUMBER
NC
05
308585
NC
01
902485
MISSISSIPPI NP LICENSE NUMBER
MS
01
AP09766
LOUISIANA NP LICENSE NUMBER
LA
Enumeration date
02/05/2018
Last updated
12/01/2022
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