Individual
MS. ADEKEMI VICTORIA ADELEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-4600
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2290030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110158380A
—
MA
Enumeration date
08/28/2018
Last updated
12/03/2024
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