Active NPIIndividual providerSole proprietor

Olasumbo Fadiya, RN

Nurse Practitioner, Adult Health in Mattapan, Massachusetts

NPI Number1033656160
Practice location
7 Cragmere Ter, Apt. #1, Mattapan, MA 02126-2508
Fax
—
Last updated
November 13, 2017

Olasumbo Fadiya is a Nurse Practitioner, Adult Health based in Mattapan, MA. Olasumbo Fadiya practices in Mattapan, MA and has the professional credentials of RN. The NPI Number for Olasumbo Fadiya is 1033656160 and holds a License No. RN261159 (MA). The current practice location address for Olasumbo Fadiya is 7 Cragmere Ter, Apt. #1, Mattapan, MA 02126-2508 and can be reached out via phone at 617-407-5875.

Provider Profile Details

NPI Number
1033656160
Provider Name
Olasumbo Fadiya
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
7 Cragmere Ter, Apt. #1, Mattapan, MA 02126-2508
Phone Number
617-407-5875
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2017
Last Update Date
November 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Cragmere Ter
Apt. #1
Mattapan, MA 02126-2508
Zip
02126-2508
Phone Number
617-407-5875
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
7 Cragmere Ter
Apt. #1
Mattapan, MA 02126-2508
City
Mattapan
State
MA
Zip
02126-2508
Phone Number
617-407-5875

License Information

License Number
RN261159
License State
MA
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Olasumbo Fadiya, RN?

The NPI number of Olasumbo Fadiya, RN is 1033656160. It was assigned on January 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Olasumbo Fadiya, RN?

Olasumbo Fadiya, RN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN261159.

Where does Olasumbo Fadiya, RN practice?

The practice location is 7 Cragmere Ter, Apt. #1, Mattapan, MA 02126-2508. The office can be reached at 617-407-5875 (phone).

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 1033656160 directly on the NPPES registry website.

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