Provider Demographics
NPI:1447579289
Name:ANIKULAPO, SHERIFAT ISHOLA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHERIFAT
Middle Name:ISHOLA
Last Name:ANIKULAPO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 N BURGHER AVE
Mailing Address - Street 2:1B
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1457
Mailing Address - Country:US
Mailing Address - Phone:718-981-5106
Mailing Address - Fax:718-981-5106
Practice Address - Street 1:80 N BURGHER AVE
Practice Address - Street 2:1B
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1457
Practice Address - Country:US
Practice Address - Phone:718-981-5106
Practice Address - Fax:718-981-5106
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296364-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse