Tanneh Paulenna Agboola
Nurse Practitioner - Gerontology
1435 Liberty St
Hamilton
, New Jersey 08629-2220
Tanneh Paulenna Agboola
Nurse Practitioner - Gerontology
1435 Liberty St
Hamilton
, New Jersey 08629-2220
(609) 475-4662
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Tanneh Paulenna Agboola
- 1435 Liberty St
- Hamilton, NJ
- Zip : 08629-2220
- Fax : (609) 475-4662
- Phone : (609) 599-5433
Second Address
- Tanneh Paulenna Agboola
- 1435 Liberty St
- Hamilton, NJ
- Zip : 08629-2220
- Fax : (609) 475-4662
- Phone : (609) 599-5433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00500900 | NJ |
National Provider Identifier
| NPI | 1013318864 |
|---|---|
| Provider Name | Tanneh Paulenna Agboola |
| First Address | Hamilton, NJ 08629-2220 |
| Second Address | Hamilton, NJ 08629-2220 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2014 |
| Last Update Date | 11/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.