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NPI Code Detail

MEDICARE: ADETUTU AWODIPE NP

MEDICARE: ADETUTU AWODIPE 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner405502NY
2363LP0808XPsychiatric/Mental Health Nurse PractitionerR194691MD
3363LP0808XPsychiatric/Mental Health Nurse Practitioner353251NY
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61539326WA
5363LF0000XFamily Nurse PractitionerR194691MD
6363LP0808XPsychiatric/Mental Health Nurse Practitioner109928WV
7363LP0808XPsychiatric/Mental Health Nurse Practitioner5017689NC
8363LP0808XPsychiatric/Mental Health Nurse PractitionerNP1059950DC
9363LP0808XPsychiatric/Mental Health Nurse Practitioner0024184544VA

General Provider Information

NPI Number : 1386157857
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADETUTU AWODIPE NP
Provider Business Mailing Address
First Line : 4218 SUMMER SHADE WAY
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4872
Country : US
Telephone Number : 443-621-2203
Fax Number :
Provider Business Practice Location Address
First Line : 9861 BROKEN LAND PKWY STE 100
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3031
Country : US
Telephone Number : 410-399-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2017
Last Update Date : 12/08/2025

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