Individual provider · Type 1 NPI

Omotunde Ademola

Licensed Practical Nurse · Philadelphia, PA

NPI number 1073003976 Active

Practice location

5500 Tabor Ave
Philadelphia, PA 19120-2124

Call (215) 245-2131 Map

Mailing address

3000 Ford Rd Apt K23
Bristol, PA 19007-1464

Other practice locations

  • 5500 Tabor Ave, Philadelphia, PA 19120-2124 · (215) 245-2131

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN295126 (PA)

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 1073003976

Omotunde Ademola's National Provider Identifier is 1073003976, issued on May 16, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 16, 2018.