Hassanatu Idibia, is a
Licensed Practical Nurse based in Dacula, Georgia. Hassanatu Idibia is licensed to practice in Georgia (license number LPN093903) and her current practice location is
3421 Meadow Grass Dr, Dacula, Georgia. She can be reached at her office (for appointments etc.) via phone at
(571) 337-8856.
NPI number for Hassanatu Idibia is 1699631135 and her current mailing address is 3421 Meadow Grass Dr, Dacula, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699631135.
Provider's Profile
| Full Name | Hassanatu Idibia |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 3421 Meadow Grass Dr, Dacula, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699631135
- Provider Enumeration Date: 12/29/2025
- Last Update Date: 12/29/2025
Medical Identifiers
Medical identifiers for Hassanatu Idibia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699631135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN093903 (Georgia) | 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. Hassanatu Idibia 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 |
|---|
Hassanatu Idibia,
3421 Meadow Grass Dr,
Dacula, GA 30019-1360
Ph: (571) 337-8856 | Hassanatu Idibia,
3421 Meadow Grass Dr,
Dacula, GA 30019-1360
Ph: (571) 337-8856 |
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