Provider Demographics
NPI:1790528560
Name:ALEGBELEYE, IFEYINWA F (FNP)
Entity type:Individual
Prefix:
First Name:IFEYINWA
Middle Name:F
Last Name:ALEGBELEYE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5372 FALLOWATER LN STE 200
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0909
Mailing Address - Country:US
Mailing Address - Phone:216-672-3100
Mailing Address - Fax:216-362-0677
Practice Address - Street 1:46531 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-3555
Practice Address - Country:US
Practice Address - Phone:216-672-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024190429363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner