Bamidele Omowumi Agada, NURSE PRACTITIONER

NPI #1467921122 in Laurelton, New York

Provider Information

NPI Number
1467921122
Entity Type
Individual
Name
Bamidele Omowumi Agada, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
NURSE PRACTITIONER
Enumeration Date
Nov 24, 2018
Last Updated
Feb 2, 2024

Practice Location

Address
13528 231ST ST
ZIP Code
11413-2532
Phone
(646) 331-9356

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health
Registered Nurse - General PracticeGeneral Practice

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