Adeyemi C Adeniyi, A-GNP
Nurse Practitioner, Primary Care in Roxbury, Massachusetts
1780238659- Practice location
- 45 Dimock St, Roxbury, MA 02119-1208
- Phone
- 617-442-8800
- Fax
- 617-541-8472
- Last updated
- August 22, 2022
Adeyemi Christanah Adeniyi is a Nurse Practitioner, Primary Care based in Roxbury, MA. Adeyemi Christanah Adeniyi practices in Roxbury, MA and has the professional credentials of A-GNP. The NPI Number for Adeyemi Christanah Adeniyi is 1780238659 and holds a License No. AG07190264 (MA). The current practice location address for Adeyemi Christanah Adeniyi is 45 Dimock St, Roxbury, MA 02119-1208 and can be reached out via phone at 617-442-8800 and via fax at 617-541-8472.
Provider Profile Details
- NPI Number
- 1780238659
- Provider Name
- Adeyemi Christanah Adeniyi
- Credential
- A-GNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 45 Dimock St, Roxbury, MA 02119-1208
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 30, 2019
- Last Update Date
- August 22, 2022
- Certification Date
- August 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Dimock St
Roxbury, MA 02119-1208 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-1208
- Phone Number
- 617-442-8800
- Fax Number
- 617-541-8472
Provider Business Mailing Address Details
- Address
- 18 W Blackwell St
Dover, NJ 07801-3841 - City
- Dover
- State
- NJ
- Zip
- 07801-3841
- Phone Number
- 973-328-3344
License Information
- License Number (1)
- AG07190264
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- RN2310738
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Adeyemi C Adeniyi, A-GNP?
The NPI number of Adeyemi C Adeniyi, A-GNP is 1780238659. It was assigned on July 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Adeyemi C Adeniyi, A-GNP?
Adeyemi C Adeniyi, A-GNP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number AG07190264.
Where does Adeyemi C Adeniyi, A-GNP practice?
The practice location is 45 Dimock St, Roxbury, MA 02119-1208. The office can be reached at 617-442-8800 (phone) or 617-541-8472 (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 1780238659 directly on the NPPES registry website.