Bamidele Omowumi Agada, NURSEPRACTITIONER
Bamidele Omowumi Agada, NURSEPRACTITIONER is a Nurse Practitioner in Laurelton, New York. Graduated from Birmingham Medical College in 2023, 3 years ago. Practices with St John's Medical Services PC, a 86-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 3
- Trained at
- Birmingham Medical College
- Licensed in
- NY
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
13528 231st StLaurelton, NY 11413-2532
Phone: (646) 331-9356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence F405177 (NY) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 569577-1 (NY) |
Record details
| NPI number | 1467921122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | November 24, 2018 |
| Last updated in NPPES | February 2, 2024 |
| Certification date | February 2, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | BIRMINGHAM MEDICAL COLLEGE |
| Graduated | 2023 (3 years in practice) |
| Group practice | St John'S Medical Services Pc — 86 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Laurelton
-
MS. Osalenne Metellus, NP
23214 Merrick Blvd, Laurelton, NY 11413-2115 · (347) 297-9279
-
Valorminds LLC
13725 Francis Lewis Blvd, Laurelton, NY 11413-2840 · (516) 376-4111