NPI 1427406651

Adewale S Omoniyi, NURSE

Practitioner Licensed Vocational Nurse Providence, RI

Practice location

Address: 11 S Angell St # 383, Providence, RI 02906-5206
Phone: (401) 516-1804
Fax: (866) 799-5622

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence LN91103 (MA)

Other Licensed Vocational Nurse providers in Rhode Island →

Registry record

NPI: 1427406651
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2016
Record last updated: 27 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.