Folasade Bolanle Alagbada, MHA, MSN, BSN, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Canton, MI

NPI 1770935330 · NPPES record last updated Jul 7, 2016

Key facts

NPI
1770935330
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
4704284236 (MI)
Practice address
43825 Michigan Ave
Canton, MI 48188-2551
Phone
(734) 397-3088
NPI assigned
Jul 7, 2016
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
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704284236MIMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704284236 MI Yes

Addresses

Primary practice location

43825 Michigan Ave
Canton, MI 48188-2551

Mailing address

43825 Michigan Ave
Canton, MI 48188-2551
Phone (734) 397-3088

Other names

  • Folasade Alagbada Alabi Other name

Other providers in Canton, MI

All providers in Canton, MI · Psychiatric/Mental Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.