Individual provider · Type 1 NPI
Omolayo Taibat Suara
Community Health Registered Nurse · Staten Island, NY
NPI number
1376085639
Active
Practice location
777 Seaview Ave
Staten Island, NY 10305-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 465074 (NY) |
Community Health Registered Nurse: Definition to come...
446 other providers at this address
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About NPI 1376085639
Omolayo Taibat Suara's National Provider Identifier is 1376085639, issued on Nov 17, 2016. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Staten Island, NY. The record was last updated on Nov 17, 2016.