Individual provider · Type 1 NPI

Daccu Bamidele Sonubiishaq

Registered Nurse · East Orange, NJ

NPI number 1255055356 Active

Practice location

99 Lenox Ave Fl 1
East Orange, NJ 07018-3102

Call (309) 966-5184 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X97121 (TN)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Registered Nurse Primary 163W00000X953594-01 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1255055356

Daccu Bamidele Sonubiishaq's National Provider Identifier is 1255055356, issued on Oct 3, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in East Orange, NJ. The record was last updated on Aug 13, 2025.