Provider Demographics
NPI:1386189330
Name:OSHO, NOFISAT ABIOLA
Entity type:Individual
Prefix:
First Name:NOFISAT
Middle Name:ABIOLA
Last Name:OSHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOFISAT
Other - Middle Name:ABIOLA
Other - Last Name:KARIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 GUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2409
Mailing Address - Country:US
Mailing Address - Phone:617-962-5705
Mailing Address - Fax:
Practice Address - Street 1:15 GUSTIN AVE
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2409
Practice Address - Country:US
Practice Address - Phone:617-962-5705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No372500000XNursing Service Related ProvidersChore Provider
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker