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Ibrahima T Diallo, APN
Family Nurse Practitioner in Bloomfield, New Jersey
NPI 1639651714

Ibrahima T Diallo is a Family Nurse Practitioner based in Jersey City, NJ and is specialized in Family. Ibrahima T Diallo practices in Bloomfield, NJ and has the professional credentials of APN. The NPI Number for Ibrahima T Diallo is 1639651714 and holds a License No. 727968-1 (New Jersey).

The current practice location address for Ibrahima T Diallo is 135 Bloomfield Ave Ste F, Bloomfield, NJ and can be reached out via phone at 862-213-0033. You can also correspond with Ibrahima T Diallo through the mailing address at 25 DUNCAN AVE APT 503, JERSEY CITY, NJ - 07304-4300 (mailing address contact number: 201-618-6623).

Location: 135 Bloomfield Ave Ste F, Bloomfield, NJ, 07304-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639651714
Provider Name
Ibrahima T Diallo
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
135 Bloomfield Ave Ste F, Bloomfield, NJ, 07304-4300
Phone Number
862-213-0033
Fax Number
Provider Enumeration Date
09/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
135 Bloomfield Ave Ste F
City
Bloomfield
State
New Jersey
Zip
07003-5902
Phone Number
862-213-0033
Fax Number
person
Provider Business Mailing Address Details
Address
135 Bloomfield Ave Ste F
City
Bloomfield
State
New Jersey
Zip
07003-5902
Phone Number
862-213-0033
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
26NJ01390500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
727968-1 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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