NPI 1851759302 · live from the CMS NPI Registry
Egbe Benedicta Adekunle-Moses
Licensed Practical Nurse in Hyde Park, MA. National Provider Identifier 1851759302, active.
NPI record
| NPI | 1851759302 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Licensed Practical Nurse 164W00000X |
| Practice location | 229 Hebron St, Hyde Park, MA 02136 |
| Practice phone | 857-544-9755 |
| Enumerated | January 28, 2016 |
| Last updated | January 28, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse primary | 164W00000X | LN90968 (MA) |
| Home Health Aide | 374U00000X | — (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.