Evie T Iyamu-Osagie
Nurse Practitioner, Pediatrics in West Hartford, CT. Individual provider (NPI-1).
NPI number1972168631
StatusActive
Last updated in NPPESMay 23, 2019
Details
- NPI
- 1972168631
- Entity type
- Individual (NPI-1)
- Name
- Evie T Iyamu-Osagie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2019
- Last updated
- May 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 12.007946 | CT | Yes |
Practice location
345 N Main St Ste 248West Hartford, CT 06117-2508
Phone 860-231-8345
Mailing address
76 N Mountain Rd Apt CNew Britain, CT 06053-3471
Phone 203-889-1752
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