Bolumole, Yvonne

Bolumole, Yvonne is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Bolumole, Yvonne can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 12365 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X 131378 Connecticut

Profile Details

NPI number 1720559438
LBN Legal business name Bolumole, Yvonne
Credentials APRN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2018
Last updated Oct 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720559438 NPPES
Connecticut MEDICAID 008122059
Connecticut MEDICAID 004217099
Connecticut MEDICAID 004041000
Connecticut MEDICAID 008003745

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