Provider Demographics
NPI:1467237156
Name:TALABI WHITAKER, ADERONKE (LPN)
Entity Type:Individual
Prefix:
First Name:ADERONKE
Middle Name:
Last Name:TALABI WHITAKER
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 1:1004 WILLOW DR APT A
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-5157
Mailing Address - Country:US
Mailing Address - Phone:504-446-5373
Mailing Address - Fax:
Practice Address - Street 1:1004 WILLOW DR APT A
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-5157
Practice Address - Country:US
Practice Address - Phone:504-446-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA30002887164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse