Ebunoluwa Modupeore Mobolaji, is a
Licensed Practical Nurse based in Waukee, Iowa. Ebunoluwa Modupeore Mobolaji is licensed to practice in Iowa (license number P65753) and her current practice location is
1440 Se Bishop Dr Apt 210, Waukee, Iowa. She can be reached at her office (for appointments etc.) via phone at
(414) 204-5373.
NPI number for Ebunoluwa Modupeore Mobolaji is 1033092952 and her current mailing address is 1440 Se Bishop Dr Apt 210, Waukee, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033092952.
Provider's Profile
Full Name | Ebunoluwa Modupeore Mobolaji |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1440 Se Bishop Dr Apt 210, Waukee, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033092952
- Provider Enumeration Date: 07/29/2025
- Last Update Date: 07/29/2025
Medical Identifiers
Medical identifiers for Ebunoluwa Modupeore Mobolaji such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033092952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P65753 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebunoluwa Modupeore Mobolaji is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ebunoluwa Modupeore Mobolaji, 1440 Se Bishop Dr Apt 210, Waukee, IA 50263-8793 Ph: (414) 204-5373 | Ebunoluwa Modupeore Mobolaji, 1440 Se Bishop Dr Apt 210, Waukee, IA 50263-8793 Ph: (414) 204-5373 |
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