IndividualActive
Desola-Vasilisa Bamgbala, RN
NPI 1275334351 · Psychiatric/Mental Health Registered Nurse · Melrose, MA
Provider details
- NPI number
- 1275334351
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN2373211 (MA)
Specialties & taxonomies
Nursing Service Providers
Practice location
16 Island Hill Ave Unit 310
Melrose, MA 02176-6140
Phone: (917) 340-6534
Approximate (ZIP-level) locationGet directions
Mailing address
16 Island Hill Ave Unit 310
Melrose, MA 02176-6140
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-03-24
- Certified
- 2025-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.