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MODUPE S AKINFOLARIN NP-C

Individual Provider (NPI-1) Active

Nurse Practitioner, Gerontology

Provider Information

NPI Number
1871899773
Provider Type
Individual Provider (NPI-1)
Credentials
NP-C
Status
Active

Contact & Location

Address
345 BLACKSTONE BLVD, PROVIDENCE, RI, 029064800
Phone
(401) 680-6502
Fax
(401) 680-4128

Specialties & Taxonomies

Nurse Practitioner, Primary Care License: RI #APRN01621
Nurse Practitioner, Gerontology Primary License: RI #APRN01621

All Addresses

LOCATION

345 BLACKSTONE BLVD

PROVIDENCE, RI, 029064800

(401) 680-6502

MAILING

455 TOLLGATE RD PROFESSIONAL REVENUE CYCLE AND CREDENTIALING

WARWICK, RI, 028862759

(401) 273-0641