Modupe R Adedoja, NP
Nurse Practitioner, Psych/Mental Health in Phoenix, Arizona
1346567013- Practice location
- 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718
- Phone
- 205-536-8400
- Fax
- —
- Last updated
- December 14, 2023
Modupe R Adedoja, NP is a Nurse Practitioner, Psych/Mental Health based in Phoenix, AZ. Modupe R Adedoja, NP holds the professional credentials of NP. The NPI number for Modupe R Adedoja, NP is 1346567013 and holds license No. 628238 (NY). The current practice location address is 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718 and the office can be reached by phone at 205-536-8400. The NPI was assigned on April 21, 2010 and the record was last updated in NPPES on December 14, 2023.
●Provider Profile Details
- NPI Number
- 1346567013
- Provider Name
- Modupe R Adedoja
- Credential
- NP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Enumeration Date
- April 21, 2010
- Last Update Date
- December 14, 2023
- Certification Date
- December 14, 2023
- NPI Status
- Active
- Other Names
- Rafatu Yisa (Former Name)
◉Business Practice Location Address
- Address
- 111 W Monroe St Ste 300
Phoenix, AZ 85003-1718 - City
- Phoenix
- State
- Arizona
- ZIP
- 85003-1718
- Country
- US
- Phone Number
- 205-536-8400
✉Business Mailing Address
- Address
- 111 W Monroe St Ste 300
Phoenix, AZ 85003-1718 - City
- Phoenix
- State
- AZ
- ZIP
- 85003-1718
- Phone Number
- 281-725-7671
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | No | 628238 | NY |
| Registered Nurse | 163W00000X | No | 875172 | TX |
| Nurse Practitioner, Family | 363LF0000X | No | AP138574 | TX |
| Nurse Practitioner, Family | 363LF0000X | No | F346956 | NY |
| Nurse Practitioner, Family | 363LF0000X | No | 288675 | AZ |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | No | 405441 | NY |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | Yes | 288675 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Phoenix, AZ
View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Modupe R Adedoja, NP?
The NPI number of Modupe R Adedoja, NP is 1346567013. It was assigned on April 21, 2010 and is currently active in the NPPES registry.
What is the specialty of Modupe R Adedoja, NP?
Modupe R Adedoja, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. 628238 (NY).
Where does Modupe R Adedoja, NP practice?
The practice location is 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718. The office can be reached at 205-536-8400 (phone).
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 1346567013 directly on the NPPES registry website at npiregistry.cms.hhs.gov.