AUGUSTINA FAKIYESI NPI 1013373786

NPI Information

  • NPI: 1013373786
  • Provider Name: AUGUSTINA FAKIYESI
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2401 W CHELTENHAM AVE
    WYNCOTE, PA
    ZIP 19095
  • Phone: (215) 444-7471

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NPI Details

Augustina Fakiyesi is a family nurse practitioner in Wyncote, PA with 5 years of experience. Augustina Fakiyesi NPI is 1013373786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 W CHELTENHAM AVE
WYNCOTE, PA
ZIP 19095-946
Phone: (215) 444-7471

The NPI 1013373786 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 4/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP015662PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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