Active NPIIndividual provider

Yvonne Bolumole, APRN, RN

Nurse Practitioner, Primary Care in New Haven, Connecticut

NPI Number1720559438
Practice location
1 Long Wharf Dr, New Haven, CT 06511-5991
Fax
203-781-4624
Last updated
October 20, 2023

Yvonne Bolumole is a Nurse Practitioner, Primary Care based in New Haven, CT. Yvonne Bolumole practices in New Haven, CT and has the professional credentials of APRN, RN. The NPI Number for Yvonne Bolumole is 1720559438 and holds a License No. 12365 (CT). The current practice location address for Yvonne Bolumole is 1 Long Wharf Dr, New Haven, CT 06511-5991 and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Provider Profile Details

NPI Number
1720559438
Provider Name
Yvonne Bolumole
Credential
APRN, RN
Provider Entity Type
Individual
Gender
Female
Address
1 Long Wharf Dr, New Haven, CT 06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2018
Last Update Date
October 20, 2023
Certification Date
October 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Long Wharf Dr
New Haven, CT 06511-5991
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
1 Long Wharf Dr Ste 321
New Haven, CT 06511-5946
City
New Haven
State
CT
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624

License Information

License Number (1)
12365
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X · Primary
License Number (2)
131378
License State (2)
CT
Taxonomy (2)
Registered Nurse · 163W00000X

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 Yvonne Bolumole, APRN, RN?

The NPI number of Yvonne Bolumole, APRN, RN is 1720559438. It was assigned on December 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Yvonne Bolumole, APRN, RN?

Yvonne Bolumole, APRN, RN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in CT under license number 12365.

Where does Yvonne Bolumole, APRN, RN practice?

The practice location is 1 Long Wharf Dr, New Haven, CT 06511-5991. The office can be reached at 203-781-4600 (phone) or 203-781-4624 (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 1720559438 directly on the NPPES registry website.

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