Individual provider · Type 1 NPI

Bamidele Adeoye Fagbola, DNP, AGPCNP

Nurse Practitioner · Fall River, MA

NPI number 1265002075 Active

Practice location

534 Prospect St
Fall River, MA 02720-5281

Call (508) 973-7766 Map

Fax (508) 973-7753

Mailing address

200 Mill Rd
Fairhaven, MA 02719-5252

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2301773 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265002075

Bamidele Adeoye Fagbola, DNP, AGPCNP's National Provider Identifier is 1265002075, issued on Jun 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fall River, MA. The record was last updated on Nov 18, 2021.