person
Modupe O Adefiyiju
Family Nurse Practitioner in Columbia, Maryland
NPI 1316541824

Modupe O Adefiyiju is a Family Nurse Practitioner based in Laurel, MD and is specialized in Family. Modupe O Adefiyiju practices in Columbia, MD. The NPI Number for Modupe O Adefiyiju is 1316541824 and holds a License No. R183736 (Maryland).

The current practice location address for Modupe O Adefiyiju is 7055 Samuel Morse Dr, Columbia, MD and can be reached out via phone at 443-739-6121 and via fax at 301-725-0163.

Location: 7055 Samuel Morse Dr, Columbia, MD, 20707-6883
person
Provider Profile Details
NPI Number
1316541824
Provider Name
Modupe O Adefiyiju
Credential
Provider Entity Type
Individual
Gender
Female
Address
7055 Samuel Morse Dr, Columbia, MD, 20707-6883
Phone Number
443-739-6121
Fax Number
301-725-0163
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7055 Samuel Morse Dr
City
State
Zip
21046-3439
Phone Number
443-739-6121
Fax Number
301-725-0163
person
Provider Business Mailing Address Details
Address
7055 Samuel Morse Dr
City
State
Zip
21046-3439
Phone Number
443-739-6121
Fax Number
301-725-0163
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R183736 (Maryland)
Definition
Definition to come...
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