ADETOLA ADEKEMI ADETUNJI (NPI# 1700436326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700436326 |
Entity Type | Individual |
Full Name | ADETOLA ADEKEMI ADETUNJI |
Practice Address |
1600 Crain Hwy S Ste 201 Glen Burnie MD 21061-6438 |
Practice Telephone | 4107600098 |
Mailing Telephone | 4107600098 |
Enumeration Date | 2019-09-16 |
Last Update Date | 2019-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R17134 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1600 CRAIN HWY S STE 201 |
City | GLEN BURNIE |
State | MD |
Zip Code | 21061-6438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902371321 | Titilayo Akinsola | Nurse Practitioner | 1600 Crain Hwy S Ste 201, Glen Burnie, MD 21061-6438 | 2018-10-11 |
1881201184 | Gold Shield Medical Services LLC | Family Medicine | 1600 Crain Hwy S Ste 201, Glen Burnie, MD 21061-6438 | 2020-09-30 |
1073155248 | Similade Adetunji | Nurse Practitioner | 1600 Crain Hwy S Ste 201, Glen Burnie, MD 21061-6438 | 2019-10-09 |
1356814990 | Shontell A Brooks | Nurse Practitioner | 1600 Crain Hwy S Ste 201, Glen Burnie, MD 21061-6438 | 2019-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
Find all providers in zip 21061 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477914067 | Kristine Harrington | Nurse Practitioner | 305 Hospital Dr Lowr Level, Glen Burnie, MD 21061-5805 | 2016-03-10 |
1164575916 | Louise C Burns | Nurse Practitioner | 1600 Crain Highway Southwest, Suite 201, Glen Burnie, MD 21061-5577 | 2007-01-18 |
1871678995 | Lystra Eastlyn Williams | Nurse Practitioner | 7310 Ritchie Hwy Ste 405, Glen Burnie, MD 21061 | 2006-10-26 |
1437150836 | Faith Hawley Howarth | Nurse Practitioner | 7711 Quarterfield Rd, Suite A, Glen Burnie, MD 21061-4492 | 2005-08-09 |
1184196024 | Courtney Keegan Perkins | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-12-17 |
1689184947 | Crystal Greene | Nurse Practitioner | 2 Crain Hwy S, # 2b, Glen Burnie, MD 21061-3526 | 2017-10-01 |
1326571415 | Kimberly Layton Rice | Nurse Practitioner | 1600 Crain Hwy S, Suite 201, Glen Burnie, MD 21061-5577 | 2017-04-06 |
1598217671 | Deidre Allison Smith | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2016-10-25 |
1144680281 | Ruth Abigail Bunolna | Nurse Practitioner | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 | 2016-03-02 |
1356700215 | Lauren Corsiglia | Nurse Practitioner | 1406b Crain Hwy S, Glen Burnie, MD 21061-4099 | 2016-02-19 |
Find all providers in GLEN BURNIE |
City | GLEN BURNIE |
Zip Code | 21061 |
Please comment or provide details below to improve the information on ADETOLA ADEKEMI ADETUNJI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.