Individual provider · NPI-1
Adebukola Aina Adeniran, NP
Clinical Nurse Specialist, Adult Health · Babylon, NY
NPI number1255689824
StatusActive
Last updated in NPPESMay 26, 2020
Details
- NPI
- 1255689824
- Entity type
- Individual (NPI-1)
- Name
- Adebukola Aina Adeniran
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2012
- Certification date
- May 26, 2020
- Last updated
- May 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 306216 | NY | Yes |
| 163W00000X | Registered Nurse | 553296-1 | NY |
Other names
- Bukola Aina Adeniran (Other Name)
Practice location
133 E Main St Ste 1bBabylon, NY 11702-3517
Phone 631-482-9880 · Fax 631-482-9911
Mailing address
133 E Main St Ste 1bBabylon, NY 11702-3517
Phone 631-482-9880 · Fax 631-482-9911
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