Active NPIIndividual provider

Ayodeji S Oludimu, NURSE

Licensed Practical Nurse in Peabody, Massachusetts

NPI Number1598317364
Practice location
1905 Pheasant Creek Ln, Peabody, MA 01960-4731
Fax
—
Last updated
July 11, 2019

Ayodeji Segun Oludimu is a Licensed Practical Nurse based in Peabody, MA. Ayodeji Segun Oludimu practices in Peabody, MA and has the professional credentials of NURSE. The NPI Number for Ayodeji Segun Oludimu is 1598317364 and holds a License No. LN85373 (MA). The current practice location address for Ayodeji Segun Oludimu is 1905 Pheasant Creek Ln, Peabody, MA 01960-4731 and can be reached out via phone at 978-210-1894.

Provider Profile Details

NPI Number
1598317364
Provider Name
Ayodeji Segun Oludimu
Credential
NURSE
Provider Entity Type
Individual
Gender
Male
Address
1905 Pheasant Creek Ln, Peabody, MA 01960-4731
Phone Number
978-210-1894
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2019
Last Update Date
July 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1905 Pheasant Creek Ln
Peabody, MA 01960-4731
Zip
01960-4731
Phone Number
978-210-1894
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
1905 Pheasant Creek Ln
Peabody, MA 01960-4731
City
Peabody
State
MA
Zip
01960-4731
Phone Number
978-210-1894

License Information

License Number
LN85373
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · 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 Ayodeji S Oludimu, NURSE?

The NPI number of Ayodeji S Oludimu, NURSE is 1598317364. It was assigned on July 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Ayodeji S Oludimu, NURSE?

Ayodeji S Oludimu, NURSE is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN85373.

Where does Ayodeji S Oludimu, NURSE practice?

The practice location is 1905 Pheasant Creek Ln, Peabody, MA 01960-4731. The office can be reached at 978-210-1894 (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 1598317364 directly on the NPPES registry website.

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