MEDICARE: ADEOLA YETUNDE ARAGBADA

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	164W00000X	Licensed Practical Nurse	44570	CT

General Provider Information

NPI Number	:	1801759212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEOLA YETUNDE ARAGBADA

Provider Business Mailing Address
First Line	:	38 SILVER SANDS RD
Second Line	:
City	:	EAST HAVEN
State	:	CT
Zip	:	06512-4217
Country	:	US
Telephone Number	:	203-645-3912
Fax Number	:	203-645-3912

Provider Business Practice Location Address
First Line	:	38 SILVER SANDS RD
Second Line	:
City	:	EAST HAVEN
State	:	CT
Zip	:	06512-4217
Country	:	US
Telephone Number	:	203-645-3912
Fax Number	:	203-645-3912

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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