ADETIMBO ADEDIRAN CRNP NPI 1679922298

NPI Information

NPI: 1679922298
Provider Name: ADETIMBO ADEDIRAN, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
9435 PARAGON CT
OWINGS MILLS, MD
ZIP 21117
Phone: (240) 722-9763
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Adetimbo Adediran, CRNP is a psychiatric/mental health nurse practitioner in Owings Mills, MD with 9 years of experience. Adetimbo Adediran, CRNP NPI is 1679922298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9435 PARAGON CT
OWINGS MILLS, MD
ZIP 21117-408
Phone: (240) 722-9763

The NPI 1679922298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2016 and was last updated on 3/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R194854	MARYLAND	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R194824	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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