Individual
ADENIKE ADEMIBOWALE ADEBIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1217 DEER HAVEN DR, MENASHA, WI 54952-8901
(920) 203-6196
Mailing address
1217 DEER HAVEN DR, MENASHA, WI 54952-8901
(920) 203-6196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135828-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38233500
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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