Individual
MORENIKIEJI ADETULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
472 WYONA ST, BROOKLYN, NY 11207-4842
(646) 283-7066
Mailing address
472 WYONA ST, BROOKLYN, NY 11207-4842
(646) 283-7066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785113
NY
164W00000X
Licensed Practical Nurse
298551
NY
363L00000X
Nurse Practitioner
Primary
355416
NY
Other
Enumeration date
06/04/2012
Last updated
03/18/2025
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