Individual provider · Type 1 NPI

Victoria Idowu Odusanya, RN

Licensed Practical Nurse · Staten Island, NY

NPI number 1346562576 Active

Practice location

194 Park Ave
Staten Island, NY 10302-1443

Call (347) 968-9634 Map

Fax (347) 968-9634

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X673460 (NY)
Licensed Practical Nurse Primary 164W00000X298102 (NY)
Nursing Facility Supplies (DME) 332BN1400XNone listed

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 1346562576

Victoria Idowu Odusanya, RN's National Provider Identifier is 1346562576, issued on Feb 15, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 23, 2026.