Individual provider · Type 1 NPI

Abimbola Datonye Iketubosin, FNP

Family Nurse Practitioner · Chandler, AZ

NPI number 1356841514 Active

Practice location

501 W Ray Rd Ste 4
Chandler, AZ 85225-7284

Fax (800) 682-1416

Mailing address

PO Box 96770
Phoenix, AZ 85072-6770

Other practice locations

  • 4212 N 16th St, Phoenix, AZ 85016-5319 · (602) 263-1200

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF08180855 (AZ)
General Practice Registered Nurse 163WG0000X221449 (AZ)
Family Nurse Practitioner Primary 363LF0000X221449 (AZ)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1356841514

Abimbola Datonye Iketubosin, FNP's National Provider Identifier is 1356841514, issued on Feb 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chandler, AZ. The record was last updated on Sep 18, 2026.