Olajumoke Adetunji, DNP APRN FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Warwick, RI

NPI 1033770342 · NPPES record last updated Jul 22, 2019

Key facts

NPI
1033770342
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN02086 (RI)
Practice address
475 Kilvert St
Warwick, RI 02886-1379
Phone
(401) 737-6900
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200303002296 RI Order and Referring Only - Nurse Practitioner 2163859109

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02086 RI Yes

Addresses

Primary practice location

475 Kilvert St
Warwick, RI 02886-1379

Mailing address

475 Kilvert St Ste 310
Warwick, RI 02886-1360

Other providers in Warwick, RI

All providers in Warwick, RI · Family Nurse Practitioner in Rhode Island

Sources for this page

Verify at the official NPI Registry.