Provider Demographics
NPI:1043036163
Name:IGUE, ACHABI H (NP)
Entity type:Individual
Prefix:
First Name:ACHABI
Middle Name:H
Last Name:IGUE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 BRONX RIVER RD APT 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3703
Mailing Address - Country:US
Mailing Address - Phone:856-397-4155
Mailing Address - Fax:
Practice Address - Street 1:229 BRONX RIVER RD APT 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3703
Practice Address - Country:US
Practice Address - Phone:856-397-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF355496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily