Individual
MRS. ERICKA RAYE IGBONEGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11706 STONE MILL RD, CINCINNATI, OH 45251-4126
(513) 324-4868
Mailing address
11706 STONE MILL RD, CINCINNATI, OH 45251-4126
(513) 324-4868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14512
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14512
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.14512
OH
Other
Enumeration date
06/03/2013
Last updated
07/11/2022
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