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Individual

MS. ADEBOLA KAFAYAT ADEGBENRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1051648
TX
164X00000X
Licensed Vocational Nurse
349695
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11044371
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2360005
MA

Other

Enumeration date
09/06/2019
Last updated
02/07/2026
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