Christina Adeoye

Individual provider Active NPI Licensed Practical Nurse · Novi, MI

NPI 1780112664 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1780112664
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703084831 (MI)
Practice address
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone
(248) 299-0030
NPI assigned
May 23, 2017
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

LicenseStateTypeSpecialty
4703084831MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703084831 MI Yes

Addresses

Primary practice location

41521 W 11 Mile Rd
Novi, MI 48375-1803

Mailing address

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030

Other providers in Novi, MI

All providers in Novi, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.