MARY TOLULOPE ATANDA NPI 1710824016

NPI Information

  • NPI: 1710824016
  • Provider Name: MARY TOLULOPE ATANDA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4615 MACCORKLE AVE SE
    CHARLESTON, WV
    ZIP 25304
  • Phone: (304) 356-7035

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NPI Details

Mary Tolulope Atanda is a psychiatric/mental health nurse practitioner in Charleston, WV. Mary Tolulope Atanda NPI is 1710824016. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4615 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-849
Phone: (304) 356-7035

The enumeration date for this NPI number is 5/4/2026 and was last updated on 5/4/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health104118WEST VIRGINIAYes

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: 11/21/2025

NPI Synchronization or Removal

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