Bolaji K Adetiba, MSN-ANP
Nurse Practitioner, Adult Health in Dallas, Texas
1568700979- Practice location
- 9 Medical Pkwy, Ste 308, Dallas, TX 75234-7858
- Phone
- 972-888-7240
- Fax
- 972-888-7285
- Last updated
- December 6, 2017
Bolaji K Adetiba, MSN-ANP is a Nurse Practitioner, Adult Health based in Dallas, TX. Bolaji K Adetiba, MSN-ANP holds the professional credentials of MSN-ANP. The NPI number for Bolaji K Adetiba, MSN-ANP is 1568700979 and holds license No. 731957 (TX). The current practice location address is 9 Medical Pkwy, Ste 308, Dallas, TX 75234-7858 and the office can be reached by phone at 972-888-7240 and by fax at 972-888-7285. The NPI was assigned on January 18, 2013 and the record was last updated in NPPES on December 6, 2017.
●Provider Profile Details
- NPI Number
- 1568700979
- Provider Name
- Bolaji Kehinde Adetiba
- Credential
- MSN-ANP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Enumeration Date
- January 18, 2013
- Last Update Date
- December 6, 2017
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 9 Medical Pkwy
Ste 308
Dallas, TX 75234-7858 - City
- Dallas
- State
- Texas
- ZIP
- 75234-7858
- Country
- US
- Phone Number
- 972-888-7240
- Fax Number
- 972-888-7285
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | Yes | 731957 | TX |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Dallas →?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) and holds license No. 731957 (TX).
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 at npiregistry.cms.hhs.gov.