MEDICARE: STEPHEN ADEYEMI NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP032363	PA

General Provider Information

NPI Number	:	1285432922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN ADEYEMI NP

Provider Business Mailing Address
First Line	:	4200 BOSTON CT APT 307
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-5335
Country	:	US
Telephone Number	:	773-297-3012
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 IRMC DR
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3673
Country	:	US
Telephone Number	:	724-357-7404
Fax Number	:	724-357-7471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/12/2026

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