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NPI Code Detail

MEDICARE: ADENIKE ABDULRAHEEM PMHNP

MEDICARE: ADENIKE ABDULRAHEEM PMHNP
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 Practitioner0024192182VA

General Provider Information

NPI Number : 1467260901
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADENIKE ABDULRAHEEM PMHNP
Provider Business Mailing Address
First Line : 1 N 5TH ST STE 403
Second Line :
City : RICHMOND
State : VA
Zip : 23219-2232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2125 HILLIARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-4600
Country : US
Telephone Number : 804-429-9053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2024
Last Update Date : 12/19/2025

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