Helen Adekusibe
Individual provider Active NPI Nurse's Aide · Riverdale, MD
NPI 1760096820 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1760096820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- A00177720 (MD)
- Practice address
- 5423 56TH Ave Apt 6
Riverdale, MD 20737-2400 - Phone
- (240) 619-0109
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| A00177720 | MD | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00177720 | MD | Yes |
Addresses
Primary practice location
5423 56TH Ave Apt 6
Riverdale, MD 20737-2400
Mailing address
5423 56TH Ave Apt 6
Riverdale, MD 20737-2400
Phone (240) 619-0109
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. 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.