Active NPIIndividual provider

Evie T Iyamu-Osagie

Nurse Practitioner, Pediatrics in West Hartford, Connecticut

NPI Number1972168631
Practice location
345 N Main St Ste 248, West Hartford, CT 06117-2508
Fax
—
Last updated
May 23, 2019

Evie T Iyamu-Osagie is a Nurse Practitioner, Pediatrics based in West Hartford, CT. Evie T Iyamu-Osagie practices in West Hartford, CT. The NPI Number for Evie T Iyamu-Osagie is 1972168631 and holds a License No. 12.007946 (CT). The current practice location address for Evie T Iyamu-Osagie is 345 N Main St Ste 248, West Hartford, CT 06117-2508 and can be reached out via phone at 860-231-8345.

Provider Profile Details

NPI Number
1972168631
Provider Name
Evie T Iyamu-Osagie
Provider Entity Type
Individual
Gender
Female
Address
345 N Main St Ste 248, West Hartford, CT 06117-2508
Phone Number
860-231-8345
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
May 7, 2019
Last Update Date
May 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 N Main St Ste 248
West Hartford, CT 06117-2508
Zip
06117-2508
Phone Number
860-231-8345
West Hartford, CT 06117Get directions →

Provider Business Mailing Address Details

Address
76 N Mountain RD Apt C
New Britain, CT 06053-3471
City
New Britain
State
CT
Zip
06053-3471
Phone Number
203-889-1752

License Information

License Number
12.007946
License State
CT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evie T Iyamu-Osagie?

The NPI number of Evie T Iyamu-Osagie is 1972168631. It was assigned on May 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Evie T Iyamu-Osagie?

Evie T Iyamu-Osagie is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 12.007946.

Where does Evie T Iyamu-Osagie practice?

The practice location is 345 N Main St Ste 248, West Hartford, CT 06117-2508. The office can be reached at 860-231-8345 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972168631 directly on the NPPES registry website.

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