Active NPIIndividual providerSole proprietor

Yao Agbolosu, RN

Registered Nurse, Community Health in East Hartford, Connecticut

NPI Number1174285191
Practice location
51 Pinecrest Dr, East Hartford, CT 06118-2737
Fax
—
Last updated
October 7, 2021

Yao Agbolosu is a Registered Nurse, Community Health based in East Hartford, CT. Yao Agbolosu practices in East Hartford, CT and has the professional credentials of RN. The NPI Number for Yao Agbolosu is 1174285191 and holds a License No. 143873 (CT). The current practice location address for Yao Agbolosu is 51 Pinecrest Dr, East Hartford, CT 06118-2737 and can be reached out via phone at 860-833-6928.

Provider Profile Details

NPI Number
1174285191
Provider Name
Yao Agbolosu
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
51 Pinecrest Dr, East Hartford, CT 06118-2737
Phone Number
860-833-6928
Primary Taxonomy
Registered Nurse, Community Health · 163WC1500X
Sole Proprietor
Yes
Provider Enumeration Date
October 7, 2021
Last Update Date
October 7, 2021
Certification Date
October 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Pinecrest Dr
East Hartford, CT 06118-2737
Zip
06118-2737
Phone Number
860-833-6928
East Hartford, CT 06118Get directions →

Provider Business Mailing Address Details

Address
51 Pinecrest Dr
East Hartford, CT 06118-2737
City
East Hartford
State
CT
Zip
06118-2737
Phone Number
860-833-6928

License Information

License Number
143873
License State
CT
Taxonomy
Registered Nurse, Community Health · 163WC1500X · 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 Yao Agbolosu, RN?

The NPI number of Yao Agbolosu, RN is 1174285191. It was assigned on October 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Yao Agbolosu, RN?

Yao Agbolosu, RN is registered under the primary taxonomy Registered Nurse, Community Health (code 163WC1500X), licensed in CT under license number 143873.

Where does Yao Agbolosu, RN practice?

The practice location is 51 Pinecrest Dr, East Hartford, CT 06118-2737. The office can be reached at 860-833-6928 (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 1174285191 directly on the NPPES registry website.

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