Mr Adewale S Omoniyi, NURSE - Licensed Vocational Nurse in Providence, RI

Mr Adewale S Omoniyi, NURSE is a Licensed Vocational Nurse based in Providence, Rhode Island. Mr Adewale S Omoniyi is licensed to practice in Massachusetts (license number LN91103) and his current practice location is 11 S Angell St # 383, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 516-1804.

NPI number for Mr Adewale S Omoniyi is 1427406651 and his current mailing address is 11 S Angell St # 383, Providence, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427406651.

Contact Information

Mr Adewale S Omoniyi, NURSE
11 S Angell St # 383,
Providence, RI 02906-5206
(401) 516-1804
(866) 799-5622



Provider's Profile

Full NameMr Adewale S Omoniyi
GenderMale
SpecialityLicensed Vocational Nurse
Location11 S Angell St # 383, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427406651
  • Provider Enumeration Date: 05/27/2016
  • Last Update Date: 05/27/2016

Medical Identifiers

Medical identifiers for Mr Adewale S Omoniyi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427406651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse LN91103 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Adewale S Omoniyi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Adewale S Omoniyi, NURSE
11 S Angell St # 383,
Providence, RI 02906-5206

Ph: (401) 516-1804
Mr Adewale S Omoniyi, NURSE
11 S Angell St # 383,
Providence, RI 02906-5206

Ph: (401) 516-1804

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Licensed Vocational Nurse Nurses in Providence, RI


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