NPI 1043732746 · live from the CMS NPI Registry
Olutoyin Adesola, APRN
Nurse Practitioner, Family in West Haven, CT. National Provider Identifier 1043732746, active.
NPI record
| NPI | 1043732746 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 687 Campbell Ave, West Haven, CT 06516 |
| Practice phone | 203-932-6481 |
| Mailing address | 130 Burwell St, New Haven, CT 06513 |
| Enumerated | July 13, 2017 |
| Last updated | July 27, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 7068 (CT) |
| Nurse Practitioner, Family primary | 363LF0000X | 7068 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.