MRS. AUGUSTA OLUREMI ISHOLA


Address: 17 Nizam Dr, Worcester, MA 01605-4017
Phone: 5088542993

MRS. AUGUSTA OLUREMI ISHOLA (NPI# 1457996704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457996704
Entity Type Individual
Full Name MRS. AUGUSTA OLUREMI ISHOLA
Credential FNP-C
Practice Address 17 Nizam Dr
Worcester
MA 01605-4017
Practice Telephone 5088542993
Mailing Telephone 5088542993
Enumeration Date 2019-11-11
Last Update Date 2019-11-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
277472 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17 NIZAM DR
City WORCESTER
State MA
Zip Code 01605-4017

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508479593 Belina Pupi Nurse Practitioner 3 Mabelle St, Worcester, MA 01602-2017 2020-08-28
1891346854 Phoebe Ofosua Amoako Nurse Practitioner 63 Frank St Apt 97, Worcester, MA 01604-1091 2019-09-21
1295390227 Irene Acheampong Nurse Practitioner 2 Pineland Ave Apt 9a, Worcester, MA 01604-1473 2019-05-06
1538660386 Viana Bernard Nurse Practitioner 363 Belmont St, Worcester, MA 01604-1011 2018-02-27
1598137663 Kristen Marie Haviland Nurse Practitioner 180 Vernon St, Worcester, MA 01610-2036 2015-10-28
1801233127 Rachel N Derry Nurse Practitioner 358 Shrewsbury St, Worcester, MA 01604 2013-05-28
1902145287 Virginia Haddad Nurse Practitioner 10 Crillon Rd, Worcester, MA 01605-2308 2013-02-06
1073858981 Heidi Glover Nurse Practitioner 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 2012-12-04
1497083984 Amy Kristen Aviles Nurse Practitioner 3 Aster Pl, Worcester, MA 01603-2201 2009-11-23
1750513339 Siah Jombay Foday Nurse Practitioner 24 Ferraro St, Worcester, MA 01604-2614 2009-08-17
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Competitor

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City WORCESTER
Zip Code 01605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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