Bolutife Merveille Adetola
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lynchburg, VA
NPI 1598569741 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1598569741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 306 Liberty View LN
Lynchburg, VA 24502-2291 - Phone
- (434) 592-6400
- NPI assigned
- Apr 4, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
306 Liberty View LN
Lynchburg, VA 24502-2291
Mailing address
52 Emanuel CT
Lynchburg, VA 24502-5592
Other providers in Lynchburg, VA
- Sarah Addair
- Doreen Addison
- Nelly Addo
- Michelle Pansy Adema
- Kevin Raymond Ader Jr.
- Isaiah Adetoro
- Corey Dylan Adkins
- Carrington Tyrus Adler
- Nour Adra
- Adult Care Center of Central VA
All providers in Lynchburg, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. 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.