National Provider Identifier

Adele Kibasumba, NP

Adele Kibasumba, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-6179.

NPI 1215561568Rochester, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1215561568
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
February 26, 2020
Last Updated
May 24, 2022

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-6179

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Athletic Trainer (2255A2300X)
Full Record
NPI
1215561568
Entity Type
Individual
Last Name
Kibasumba
First Name
Adele
Credential
NP
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-6179
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-6179
Enumeration Date
February 26, 2020
Last Updated
May 24, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Athletic Trainer (2255A2300X)