Individual
ENIOLA BAMIDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
249 THOMAS S BOYLAND ST APT 16O, BROOKLYN, NY 11233-4149
(347) 661-6980
Mailing address
28 VETERANS DR, SOUTH RIVER, NJ 08882-2613
(347) 661-6980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20446300
NJ
163W00000X
Registered Nurse
677
NY
363LF0000X
Family Nurse Practitioner
26NJ01047100
NJ
363LF0000X
Family Nurse Practitioner
F345560-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01047100
NJ
Other
Enumeration date
05/31/2017
Last updated
07/02/2024
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