Individual provider · Type 1 NPI

Abisola Ibrahim, WHNP/AGPCNP

Gerontology Nurse Practitioner · San Antonio, TX

NPI number 1649798232 Active

Practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102X2020023180 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X1055965 (TX)
Adult Health Nurse Practitioner 363LA2200X22921 (TN)
Adult Health Nurse Practitioner 363LA2200X2020023180 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1649798232

Abisola Ibrahim, WHNP/AGPCNP's National Provider Identifier is 1649798232, issued on Sep 2, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Antonio, TX. The record was last updated on Aug 4, 2022.