Healthcare Provider Details

I. General information

NPI: 1366306706
Provider Name (Legal Business Name): SUNDAY ADEYEMI ADETOYESE CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E FRANKLIN ST
BALTIMORE MD
21202-2203
US

IV. Provider business mailing address

10 CAMANO CT
RANDALLSTOWN MD
21133-2008
US

V. Phone/Fax

Practice location:
  • Phone: 410-600-3500
  • Fax: 410-600-3499
Mailing address:
  • Phone: 443-985-6893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR233731
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: