IndividualActive
Abosede Alao, RN, BSN , MSN
NPI 1124264213 · Psychiatric/Mental Health Nurse Practitioner · Manlius, NY
Provider details
- NPI number
- 1124264213
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, BSN , MSN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 489569-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
4589 Stoneledge Ln
Manlius, NY 13104-2375
Phone: (315) 412-3023
Approximate (ZIP-level) locationGet directions
Mailing address
4589 Stoneledge Ln
Manlius, NY 13104-2375
Registry dates
- Enumerated
- 2008-12-19
- Last updated
- 2010-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.