Individual
BEATRICE BAMIKOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
966 PARK ST STE 2, STOUGHTON, MA 02072-3650
(781) 885-7530
(855) 284-1305
Mailing address
966 PARK ST STE 2, STOUGHTON, MA 02072-3650
(781) 885-7530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2267018
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2267018
MA
Other
Enumeration date
02/22/2011
Last updated
12/17/2020
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