PAUL AGBOR NAENGE MSN APRN NPI 1972018364

NPI Information

  • NPI: 1972018364
  • Provider Name: PAUL AGBOR NAENGE, MSN, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 CARNEGIE PL STE 103
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (770) 716-7999

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NPI Details

Paul Agbor Naenge, MSN, APRN is a family nurse practitioner in Fayetteville, GA. Paul Agbor Naenge, MSN, APRN NPI is 1972018364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 CARNEGIE PL STE 103
FAYETTEVILLE, GA
ZIP 30214-900
Phone: (770) 716-7999
Fax: (770) 716-8444

The NPI 1972018364 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 12/6/2017 and was last updated on 5/9/2024.

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 PractitionerFamilyRN234959GEORGIAYes
2363LF0000XNurse PractitionerFamily95008309CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
195008309OTHERCALIFORNIASTATE MEDICAL LICENSE
2APRN11018999OTHERFLORIDASTATE MEDICAL LICENSE
32023021736OTHERMISSOURISTATE MEDICAL LICENSE
482362OTHERKANSASSTATE MEDICAL LICENSE

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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