Provider Demographics
NPI:1417517285
Name:IGBOIN, GLORIA FUNBI (MSN, RN, FNP, PMH-BC)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:FUNBI
Last Name:IGBOIN
Suffix:
Gender:
Credentials:MSN, RN, FNP, PMH-BC
Other - Prefix:MISS
Other - First Name:GLORIA
Other - Middle Name:FUNBI
Other - Last Name:TOYINBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11862 TREVALLY LOOP APT 310
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-0052
Mailing Address - Country:US
Mailing Address - Phone:727-424-8784
Mailing Address - Fax:
Practice Address - Street 1:5319 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4014
Practice Address - Country:US
Practice Address - Phone:727-220-2422
Practice Address - Fax:727-264-0462
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002204363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner