Individual provider · Type 1 NPI

Fausat Adenike Adetola

Licensed Practical Nurse · Bronx, NY

NPI number 1003061607 Active

Practice location

40 W Mosholu Pkwy S, Apt 30A
Bronx, NY 10468-1150

Call (347) 238-7826 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293721-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003061607

Fausat Adenike Adetola's National Provider Identifier is 1003061607, issued on Nov 24, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Nov 24, 2008.