MEDICARE: ADEDAYO AKINLOFA CRNP

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	R177004	MD
2	363LF0000X	Family Nurse Practitioner	R177004	MD

General Provider Information

NPI Number	:	1831622216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEDAYO AKINLOFA CRNP

Provider Business Mailing Address
First Line	:	528 DUSK VIEW DR
Second Line	:
City	:	HAVRE DE GRACE
State	:	MD
Zip	:	21078-2368
Country	:	US
Telephone Number	:	443-415-8427
Fax Number	:

Provider Business Practice Location Address
First Line	:	4367 HOLLINS FERRY RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21227-3400
Country	:	US
Telephone Number	:	443-415-8427
Fax Number	:

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

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	11/04/2023

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