Active NPIIndividual provider

Bolaji K Adetiba, MSN-ANP

Nurse Practitioner, Adult Health in Dallas, Texas

NPI Number1568700979
Practice location
9 Medical Pkwy, Ste 308, Dallas, TX 75234-7858
Fax
972-888-7285
Last updated
December 6, 2017

Bolaji Kehinde Adetiba is a Nurse Practitioner, Adult Health based in Dallas, TX. Bolaji Kehinde Adetiba practices in Dallas, TX and has the professional credentials of MSN-ANP. The NPI Number for Bolaji Kehinde Adetiba is 1568700979 and holds a License No. 731957 (TX). The current practice location address for Bolaji Kehinde Adetiba is 9 Medical Pkwy, Ste 308, Dallas, TX 75234-7858 and can be reached out via phone at 972-888-7240 and via fax at 972-888-7285.

Provider Profile Details

NPI Number
1568700979
Provider Name
Bolaji Kehinde Adetiba
Credential
MSN-ANP
Provider Entity Type
Individual
Gender
Female
Address
9 Medical Pkwy, Ste 308, Dallas, TX 75234-7858
Phone Number
972-888-7240
Fax Number
972-888-7285
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
January 18, 2013
Last Update Date
December 6, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Medical Pkwy
Ste 308
Dallas, TX 75234-7858
City
Dallas
State
Texas
Zip
75234-7858
Phone Number
972-888-7240
Fax Number
972-888-7285
Dallas, TX 75234Get directions →

Provider Business Mailing Address Details

Address
Po Box 2932
Yuma, AZ 85366-2401
City
Yuma
State
AZ
Zip
85366-2401
Phone Number
928-276-4477
Fax Number
928-276-4481

License Information

License Number
731957
License State
TX
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bolaji K Adetiba, MSN-ANP?

The NPI number of Bolaji K Adetiba, MSN-ANP is 1568700979. It was assigned on January 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Bolaji K Adetiba, MSN-ANP?

Bolaji K Adetiba, MSN-ANP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in TX under license number 731957.

Where does Bolaji K Adetiba, MSN-ANP practice?

The practice location is 9 Medical Pkwy, Ste 308, Dallas, TX 75234-7858. The office can be reached at 972-888-7240 (phone) or 972-888-7285 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568700979 directly on the NPPES registry website.

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