Adedoyin Olufunke Adekoya

Individual provider Active NPI Registered Nurse · Greenbelt, MD

NPI 1497097919 · NPPES record last updated Aug 24, 2023

Key facts

NPI
1497097919
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN1057897 (DC)
Practice address
8687 Greenbelt Rd
Greenbelt, MD 20770-2436
Phone
(404) 988-6493
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN1057897DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Center Chartered,Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1057897 DC Yes

Addresses

Primary practice location

8687 Greenbelt Rd
Greenbelt, MD 20770-2436

Mailing address

8687 Greenbelt Rd
Greenbelt, MD 20770-2436
Phone (404) 988-6493

Other providers in Greenbelt, MD

All providers in Greenbelt, MD · Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.