Provider Demographics
NPI:1407131741
Name:ILOKA-ASHLEY, ADAOBI I (RN)
Entity Type:Individual
Prefix:MRS
First Name:ADAOBI
Middle Name:I
Last Name:ILOKA-ASHLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ADAOBI
Other - Middle Name:I
Other - Last Name:ILOKA-ASHLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:672 E 224TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-4004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1510 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2700
Practice Address - Country:US
Practice Address - Phone:347-493-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY508409-1163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)