Latifat Olabisi Bamgbose, LPN
Licensed Practical Nurse in Newark, NJ. Individual provider (NPI-1).
NPI number1346880325
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1346880325
- Entity type
- Individual (NPI-1)
- Name
- Ms. Latifat Olabisi Bamgbose
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2020
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP07135300 | NJ | Yes |
Practice location
233 Lehigh Avenue#3
Newark, NJ 07112
Phone 862-264-3950
Mailing address
233 Lehigh Avenue#3
Newark, NJ 07112
Phone 862-264-3950
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