Individual
ADEBOLA ADELAIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DORRANCE ST, PROVIDENCE, RI 02903-2018
(401) 200-8242
(401) 415-0418
Mailing address
10 DORRANCE ST, PROVIDENCE, RI 02903-2018
(401) 200-8242
(401) 782-0858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN45445
RI
363LF0000X
Family Nurse Practitioner
NPP37791
RI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN03296
RI
Other
Enumeration date
12/13/2013
Last updated
01/25/2023
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