Yetunde Monifa Adeosun
Individual provider Active NPI Gerontology Nurse Practitioner · Coatesville, PA
NPI 1417835778 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1417835778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- SP033673 (PA)
- Practice address
- 1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040 - Phone
- (610) 384-7711
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP033673 | PA | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP033673 | PA | Yes |
Addresses
Primary practice location
1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040
Mailing address
185 Turtlepoint LN
Thorndale, PA 19372-1164
Phone (215) 313-9236
Other providers in Coatesville, PA
- Absolute Support Care Services LLC
- Abundant Choice Health Care LLC
- Anne Atieno Abwom
- Stephanie Adam
- Jacqueline Adams
- Advanced Treatment Systems, LLC
- Bonnie L. Ahlquist
- George Ainslie
- Ramzan S Akbar
- Laura K Alarcon
All providers in Coatesville, PA · Gerontology Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.