BLAYSON A FAGBODUN
NPI 1245938307
Specialist in Las Vegas, NV

Active since February 20, 2023
3055 S NELLIS BLVD APT 1034, LAS VEGAS, NV 89121(702) 969-3512 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blayson A Fagbodun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAYSON A FAGBODUN (NPI 1245938307) is an individual specialist in Las Vegas, Nevada and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1245938307
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBLAYSON A FAGBODUN
Location Address3055 S NELLIS BLVD APT 1034Las Vegas, NV 89121-7747
Mailing Address3055 S Nellis Blvd Apt 1034Las Vegas, NV 89121-7747 · (702) 969-3512
Sole ProprietorNo
Enumeration DateFebruary 20, 2023
NPPES CertifiedJanuary 3, 2023
NPI 1245938307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3055 S NELLIS BLVD APT 1034, Las Vegas, NV 89121

Other Names 1

Former Name (1)Blayson Rosemond Kabia

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blayson Fagbodun's NPI number?

The NPI number for Blayson Fagbodun is 1245938307. It was assigned to this individual provider in the NPPES registry on February 20, 2023. The provider is also known as Blayson Rosemond Kabia.

Where is Blayson Fagbodun located?

Blayson Fagbodun practices at 3055 S Nellis Blvd Apt 1034, Las Vegas, NV 89121. The listed phone number is (702) 969-3512.

What is Blayson Fagbodun's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Blayson Fagbodun was last updated on February 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.