Provider Demographics
NPI:1861951816
Name:DUMBUYA, HAJA (APRN)
Entity type:Individual
Prefix:
First Name:HAJA
Middle Name:
Last Name:DUMBUYA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 NAVARRE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3587
Mailing Address - Country:US
Mailing Address - Phone:419-691-7820
Mailing Address - Fax:419-691-7593
Practice Address - Street 1:4330 NAVARRE AVE STE 103
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3587
Practice Address - Country:US
Practice Address - Phone:196-917-8204
Practice Address - Fax:419-691-7593
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023910363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health