OLUSOLA ADEKUNLE OBASA


Address: 675 Main Street, Middletown, CT 06457
Phone: 8608520853

OLUSOLA ADEKUNLE OBASA (NPI# 1881247385) 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) 1881247385
Entity Type Individual
Full Name OLUSOLA ADEKUNLE OBASA
Credential FNP-BC
Practice Address 675 Main Street
Middletown
CT 06457
Practice Telephone 8608520853
Enumeration Date 2019-07-23
Last Update Date 2019-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
12.008303 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 675 MAIN STREET
City MIDDLETOWN
State CT
Zip Code 06457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477752525 Stephanie Noto Counselor 675 Main Street, Middletown, CT 06457 2007-07-17
1215537980 Chelsea Schnorrbusch Student in an Organized Health Care Education/Training Program 675 Main Street, Middletown, CT 06457 2020-10-30
1538767165 Allegra Velazquez Nutritionist 675 Main Street, Middletown, CT 06457-2632 2020-10-15
1659998581 Vanessa Latson Registered Nurse 675 Main Street, Middletown, CT 06457 2020-06-26
1528680683 Sarah Barnhart Registered Nurse 675 Main Street, Middletown, CT 06457-2632 2020-05-12
1740801471 Polly Huynh Registered Nurse 675 Main Street, Middletown, CT 06457 2020-05-05
1093342958 Tanesha Tamara Rankine Counselor 675 Main Street, Middletown, CT 06457 2020-03-23
1801422001 Shawn Curtis Psychologist 675 Main Street, Middletown, CT 06457 2020-03-19
1487200226 Suzanne Mayo Watson Nurse Practitioner 675 Main Street, Middletown, CT 06457 2019-08-16
1104479583 Laina Jean Cross Nurse Practitioner 675 Main Street, Middletown, CT 06457 2019-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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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...

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1316563869 Alexa Rae Steenbruggen Nurse Practitioner 8 Gossets Turn Dr, Middletown, RI 02842-7900 2020-06-21
1942832472 Courtney Killin Nurse Practitioner 506 Gladys Dr, Middletown, OH 45044-4825 2020-02-12
1174085575 Adenike Yetunde Awotundun Nurse Practitioner 1020 N Union St Apt 204, Middletown, PA 17057-2158 2019-04-03
1447722095 Cheryl Roman Nurse Practitioner 15 Southview W, Middletown, NJ 07748-2416 2018-12-20
1083191076 Johnita Hendricks Nurse Practitioner 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 2018-07-23
1881146702 Oluyemisi A Okudele Nurse Practitioner 11 Little Cir, Middletown, DE 19709-7956 2016-10-26
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Competitor

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City MIDDLETOWN
Zip Code 06457

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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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