Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Iziegbe Garuba, NP

Individual provider Nurse Practitioner · NPI 1356879878

Iziegbe Garuba, NP is a Nurse Practitioner in Modesto, California. Qualified in 2015, 11 years ago. Practices with Tyrone E Snipes D O Internal Medicine Primary Care Inc, a 3-clinician group. Licensed in California and Georgia.

Years since qualifying
11
Licensed in
CA, GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1800 Coffee Rd
Modesto, CA 95355-2705
Phone: (209) 572-7262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95006660 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN221346 (GA)

Record details

NPI number1356879878
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 29, 2017
Last updated in NPPESMay 29, 2017
Mailing address83 Birchfield Ct, Dallas, GA 30132-0844

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tyrone E Snipes D O Internal Medicine Primary Care Inc — 3 clinicians
Accepts Medicare assignment Not indicated

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