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Modupe Fadojutimi, NURSEPRACTITIONER
Primary Care Nurse Practitioner in La Plata, Maryland
NPI 1952860660

Modupe Fadojutimi is a Primary Care Nurse Practitioner based in La Plata, MD and is specialized in Primary Care. Modupe Fadojutimi practices in La Plata, MD and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Modupe Fadojutimi is 1952860660 and holds a License No. R194540 (Maryland).

The current practice location address for Modupe Fadojutimi is 1 Magnolia Dr, La Plata, MD and can be reached out via phone at 301-934-4001.

Location: 1 Magnolia Dr, La Plata, MD, 20646-9357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952860660
Provider Name
Modupe Fadojutimi
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1 Magnolia Dr, La Plata, MD, 20646-9357
Phone Number
301-934-4001
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Magnolia Dr
City
La Plata
State
Maryland
Zip
20646-9357
Phone Number
301-934-4001
Fax Number
person
Provider Business Mailing Address Details
Address
1 Magnolia Dr
City
La Plata
State
Maryland
Zip
20646-9357
Phone Number
301-934-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
R194540 (Maryland)
Definition
Definition to come...
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