Individual provider · NPI-1

Adebola Adelaiye

Clinical Nurse Specialist, Psych/Mental Health · Providence, RI

NPI number1427489657
StatusActive
Last updated in NPPESJan 25, 2023

Details

NPI
1427489657
Entity type
Individual (NPI-1)
Name
Adebola Adelaiye
Sex
Female
Sole proprietor
No
Enumeration date
Dec 13, 2013
Certification date
Jan 24, 2023
Last updated
Jan 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SP0808X Clinical Nurse Specialist, Psych/Mental HealthAPRN03296RIYes
163W00000X Registered NurseRN45445RI
363LF0000X Nurse Practitioner, FamilyNPP37791RI

Other names

  • Adebola C Adesanmi (Former Name)

Practice location

10 Dorrance St
Providence, RI 02903-2018

Phone 401-200-8242 · Fax 401-415-0418

Mailing address

10 Dorrance St
Providence, RI 02903-2018

Phone 401-200-8242 · Fax 401-782-0858

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