Individual provider · Type 1 NPI

Collins O. Idiegbe, ACNP

Acute Care Nurse Practitioner · San Antonio, TX

NPI number 1073940557 Active

Practice location

4411 Medical Dr, 300
San Antonio, TX 78229-3822

Fax (210) 614-5732

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X751397 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1073940557

Collins O. Idiegbe, ACNP's National Provider Identifier is 1073940557, issued on Sep 30, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Antonio, TX. The record was last updated on Sep 30, 2013.