Individual provider · Type 1 NPI

Martin Ikponmwosa, RN

Registered Nurse · Cumming, GA

NPI number 1386560480 Active

Practice location

4625 Walt Ct
Cumming, GA 30028-4052

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN282537 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1386560480

Martin Ikponmwosa, RN's National Provider Identifier is 1386560480, issued on Jun 24, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Cumming, GA. The record was last updated on Jun 24, 2026.