Individual provider · Type 1 NPI

Destiny Ibrom, FNP

Family Nurse Practitioner · Port Lavaca, TX

NPI number 1487153573 Active

Practice location

1200 N Virginia St
Port Lavaca, TX 77979-2507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP136422 (TX)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1487153573

Destiny Ibrom, FNP's National Provider Identifier is 1487153573, issued on Feb 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Lavaca, TX. The record was last updated on Nov 1, 2019.