Bolajoko Alli
Individual provider Active NPI Pediatric Registered Nurse · Rosenberg, TX
NPI 1972086205 · NPPES record last updated Sep 12, 2018
Key facts
- NPI
- 1972086205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 889565 (TX)
- Practice address
- 2111 Croxley CV
Rosenberg, TX 77471-4596 - Phone
- (301) 674-9139
- NPI assigned
- Sep 12, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 889565 | TX | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 889565 | TX | Yes |
Addresses
Primary practice location
2111 Croxley CV
Rosenberg, TX 77471-4596
Mailing address
2111 Croxley CV
Rosenberg, TX 77471-4596
Phone (301) 674-9139
Other providers in Rosenberg, TX
- Vera Akum Akuro
- Koriyan Rhea Alexander
- Ban Ali
- Shagufa Ali
- Pretty Alika
- Allied Care Hospice LLC
- Sandra Allison
- Alo Counseling, PLLC
- Alora Grace Hospice Care LLC
- Alpesh D. Desai, D.O. P.a.
All providers in Rosenberg, TX · Pediatric Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2018. 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.