Individual provider · NPI-1

Bushirat Adeola Elegbede

Registered Nurse, Gerontology · Norfolk, VA

NPI number1255249348
StatusActive
Last updated in NPPESAug 31, 2026

Details

NPI
1255249348
Entity type
Individual (NPI-1)
Name
Bushirat Adeola Elegbede
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2026
Certification date
Aug 30, 2026
Last updated
Aug 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology0001333112VAYes

Practice location

3619 Cape Henry Ave
Norfolk, VA 23513-4550

Phone 757-698-8091 · Fax 757-698-8091

Mailing address

3619 Cape Henry Ave
Norfolk, VA 23513-4550

Phone 757-698-8091 · Fax 757-698-8091

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