Adeleke Benjamin Adewumi
Individual provider Active NPI Registered Nurse · Raleigh, NC
NPI 1194127076 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1194127076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 310214 (NC)
- Practice address
- 4705 Cardinal Grove Blvd
Raleigh, NC 27616-2979 - Phone
- (614) 772-1610
- NPI assigned
- Sep 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 310214 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Logistics LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 310214 | NC | Yes |
Addresses
Primary practice location
4705 Cardinal Grove Blvd
Raleigh, NC 27616-2979
Mailing address
4705 Cardinal Grove Blvd
Raleigh, NC 27616-2979
Phone (614) 772-1610
Other providers in Raleigh, NC
- Alice Adebolanle Adebari
- Michael Olusegun Adejimi
- Richard D Adelman
- Abimbola Oluwatoyin Adeoti
- Adequate Home Health LLC
- Adekanbi Chijioke Adewunmi
- Omotunde Adeyemi
- Sanju Adhikari
- Susmita Adhikari
- Sanjay Narayanaswamy Adi
All providers in Raleigh, NC · Registered Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. 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.