Provider Demographics
NPI:1104697846
Name:FOLARIN, SHAKIRAT ADENIKE (RN)
Entity type:Individual
Prefix:
First Name:SHAKIRAT
Middle Name:ADENIKE
Last Name:FOLARIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-4317
Mailing Address - Country:US
Mailing Address - Phone:516-606-4462
Mailing Address - Fax:
Practice Address - Street 1:626 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-4317
Practice Address - Country:US
Practice Address - Phone:516-606-4462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY80160801163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse