Ramota Aduke Akindipe, RN

Individual provider Active NPI Registered Nurse · Randolph, MA

NPI 1073736047 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1073736047
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
228212 (MA)
Practice address
31 Blakely Cir
Randolph, MA 02368-3815
Phone
(781) 963-9280
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
228212MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 228212 MA Yes

Addresses

Primary practice location

31 Blakely Cir
Randolph, MA 02368-3815

Mailing address

31 Blakely Cir
Randolph, MA 02368-3815
Phone (781) 963-9280

Other identifiers

IdentifierTypeStateIssuer
0710971MedicaidMA

Other providers in Randolph, MA

All providers in Randolph, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.