Individual provider · NPI-1

Mofoluso O Agbelese, DNP

Nurse Practitioner, Family · Providence, RI

NPI number1194178558
StatusActive
Last updated in NPPESOct 1, 2025

Details

NPI
1194178558
Entity type
Individual (NPI-1)
Name
Mofoluso O Agbelese
Credential
DNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2016
Certification date
Oct 1, 2025
Last updated
Oct 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN01357RIYes

Practice location

239 Cranston St
Providence, RI 02907-2406

Phone 401-444-0580 · Fax 401-444-0428

Mailing address

375 Allens Ave
Providence, RI 02905-5010

Phone 401-444-0400 · Fax 401-444-0468

Other practice locations

984 Charles St
North Providence, RI 02904-5054

Phone 401-935-1804 · Fax 401-340-1904

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Providence, RI