Individual provider · Type 1 NPI

Alengo Nicole Igodan, PA-C

Medical Physician Assistant · Columbus, OH

NPI number 1174814529 Active

Practice location

460 W 10th Ave
Columbus, OH 43210-1240

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50.003069 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1174814529

Alengo Nicole Igodan, PA-C's National Provider Identifier is 1174814529, issued on Apr 20, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbus, OH. The record was last updated on Oct 12, 2016.