Individual
MR. ADEMOLA SOLOMON OBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
309 BELMONT ST, WORCESTER, MA 01604-1059
(508) 615-6001
Mailing address
309 BELMONT ST, WORCESTER, MA 01604-1059
(508) 368-3525
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2270564
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2270564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S93688027
DRIVERS LICENSE
MA
Enumeration date
03/23/2020
Last updated
02/09/2023
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