Individual provider · Type 1 NPI

Adeshola Dirisu, LPN

Licensed Practical Nurse · Bay Shore, NY

NPI number 1164742011 Active

Practice location

104 Pinebrook Pl
Bay Shore, NY 11706-4457

Call (631) 647-3757 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X290354 (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 1164742011

Adeshola Dirisu, LPN's National Provider Identifier is 1164742011, issued on Jun 2, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bay Shore, NY. The record was last updated on Jun 2, 2010.