Funmilola Azeezat Adedeji, NURSEPRACTITIONER
Funmilola Azeezat Adedeji, NURSEPRACTITIONER is a Nurse Practitioner in Staten Island, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 2
- Licensed in
- NY
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
85 Lockman AveStaten Island, NY 10303
Phone: (347) 666-0278
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 406728 (NY) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence 3059521 (NY) |
Record details
| NPI number | 1710232798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2012 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | June 24, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
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