MEDICARE: MRS. OLUREMI IBUKUN AKINTOLA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WW0101X	Ambulatory Women's Health Care Registered Nurse	RN57561	RI

General Provider Information

NPI Number	:	1265386650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLUREMI IBUKUN AKINTOLA RN

Provider Business Mailing Address
First Line	:	24 JANE ST
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5043
Country	:	US
Telephone Number	:	401-649-3112
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 JANE ST
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5043
Country	:	US
Telephone Number	:	401-649-3112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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