MEDICARE: BOLANLE T ANDREWS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	372600000X	Adult Companion
3	376J00000X	Homemaker
4	376K00000X	Nurse's Aide
5	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1386339638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOLANLE T ANDREWS

Provider Business Mailing Address
First Line	:	1741 WELCH LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3537
Country	:	US
Telephone Number	:	513-238-0783
Fax Number	:

Provider Business Practice Location Address
First Line	:	1741 WELCH LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3537
Country	:	US
Telephone Number	:	513-238-0783
Fax Number	:

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

Provider Enumeration Date	:	04/11/2023
Last Update Date	:	04/11/2023

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Directions to “ BOLANLE T ANDREWS ” Practice Location

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