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NPI Code Detail

MEDICARE: MISS OLAYEMI ABIOLA ADUROTA FNP-C

MEDICARE: MISS OLAYEMI ABIOLA ADUROTA FNP-C
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
1363LF0000XFamily Nurse PractitionerR201105MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerR201105MD

General Provider Information

NPI Number : 1437524899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS OLAYEMI ABIOLA ADUROTA FNP-C
Provider Business Mailing Address
First Line : 13400 EDGEMEADE RD
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-8088
Country : US
Telephone Number : 240-825-9529
Fax Number :
Provider Business Practice Location Address
First Line : 13400 EDGEMEADE RD
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-8088
Country : US
Telephone Number : 240-825-9529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2015
Last Update Date : 12/15/2020

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Directions to “ MISS OLAYEMI ABIOLA ADUROTA FNP-C” Practice Location

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