Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESOLA-VASILISA BAMGBALA, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · MELROSE, MA
Registration Details
- NPI Number
- 1275334351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2025 (1.1123579609356 yrs)
- Last Updated
- Mar 24, 2025
- License
-
RN2373211 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16 ISLAND HILL AVE UNIT 310MELROSE, MA, 021766140Browse MA providers · Browse ZIP 02176
- Phone
- 9173406534
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in MELROSE, MA
| Name | Credential | NPI |
|---|---|---|
| GERALDINE S. KOPPENAAL | RNCS | 1629023940 |
| MS. CORNELIA DEWITT WALSH | RN BC, BSN, MSHS | 1487888186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.