Imuetinyan Adegue
Licensed Practical Nurse • Bronx, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Imuetinyan Adegue has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Imuetinyan Adegue was a registered Licensed Practical Nurse practicing in Bronx, NY. Throughout an active medical career spanning 8 years, Imuetinyan Adegue provided care at the practice location at 4361 ELY AVE until profile deactivation on 2017-12-15.
Practice Location & Contact Primary Location
4361 Ely Ave
Bronx, NY 104661815
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Bronx, NY
Practicing in Bronx, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 15, 2017
NPI status registered as active in NPPES database
Registered at 4361 ELY AVE, BRONX, NY 104661815 (Tel: 7187981672)
Registered at 4361 ELY AVE, BRONX, NY 104661815 (Tel: 7187981672)
Recorded as IMUETINYAN ADEGUE
Licensed Practical Nurse (License #278705 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4361 Ely Ave
Bronx, NY 104661815
Phone: 7187981672
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