Active NPIIndividual provider

Tanneh P Agboola, APN

Nurse Practitioner, Gerontology in Hamilton, New Jersey

NPI Number1013318864
Practice location
1435 Liberty St, Hamilton, NJ 08629-2220
Fax
609-475-4662
Last updated
September 11, 2014

Tanneh Paulenna Agboola is a Nurse Practitioner, Gerontology based in Hamilton, NJ. Tanneh Paulenna Agboola practices in Hamilton, NJ and has the professional credentials of APN. The NPI Number for Tanneh Paulenna Agboola is 1013318864 and holds a License No. 26NJ00500900 (NJ). The current practice location address for Tanneh Paulenna Agboola is 1435 Liberty St, Hamilton, NJ 08629-2220 and can be reached out via phone at 609-599-5433 and via fax at 609-475-4662.

Provider Profile Details

NPI Number
1013318864
Provider Name
Tanneh Paulenna Agboola
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1435 Liberty St, Hamilton, NJ 08629-2220
Phone Number
609-599-5433
Fax Number
609-475-4662
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2014
Last Update Date
September 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1435 Liberty St
Hamilton, NJ 08629-2220
Zip
08629-2220
Phone Number
609-599-5433
Fax Number
609-475-4662
Hamilton, NJ 08629Get directions →

Provider Business Mailing Address Details

Address
1435 Liberty St
Hamilton, NJ 08629-2220
City
Hamilton
State
NJ
Zip
08629-2220
Phone Number
609-599-5433
Fax Number
609-475-4662

License Information

License Number
26NJ00500900
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanneh P Agboola, APN?

The NPI number of Tanneh P Agboola, APN is 1013318864. It was assigned on September 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Tanneh P Agboola, APN?

Tanneh P Agboola, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ00500900.

Where does Tanneh P Agboola, APN practice?

The practice location is 1435 Liberty St, Hamilton, NJ 08629-2220. The office can be reached at 609-599-5433 (phone) or 609-475-4662 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013318864 directly on the NPPES registry website.

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