Adenike Olubusayo Adeniyi
Individual provider Active NPI Licensed Practical Nurse · Milwaukee, WI
NPI 1073880282 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1073880282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 313823-031 (WI)
- Practice address
- 8867B N. 95TH St
Milwaukee, WI 53224-7147 - Phone
- (708) 415-1773
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313823-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 313823-031 | WI | Yes |
Addresses
Primary practice location
8867B N. 95TH St
Milwaukee, WI 53224-7147
Mailing address
8867B N 95TH St
Milwaukee, WI 53224-7147
Phone (708) 415-1773
Other providers in Milwaukee, WI
- Jennifer Oluyemisi Adeghate
- Ayobami A Adelayi
- Cynthia Cinny Adell
- Besim Ademi
- Said Aden
- Olajumoke R. Aderugbo
- Vincent Joseph Adesso
- Iniya Kumar Adhan
- Aditi Adhikari
- Anju Adhikari
All providers in Milwaukee, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.