ADENIKE YETUNDE AWOTUNDUN


Address: 1020 N Union St Apt 204, Middletown, PA 17057-2158
Phone: 7177046560

ADENIKE YETUNDE AWOTUNDUN (NPI# 1174085575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174085575
Entity Type Individual
Full Name ADENIKE YETUNDE AWOTUNDUN
Credential CRNP
Practice Address 1020 N Union St Apt 204
Middletown
PA 17057-2158
Practice Telephone 7177046560
Mailing Telephone 7177046560
Enumeration Date 2019-04-03
Last Update Date 2019-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP018939 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1020 N UNION ST APT 204
City MIDDLETOWN
State PA
Zip Code 17057-2158

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1528440344 Alexis Rose Falcone Occupational Therapist 1020 N. Union Street, Middletown, PA 17057 2015-06-29
1477992329 Melinda Ann Ramberger Physical Therapy Assistant 1020 North Union St, Middletown, PA 17057 2013-06-24
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1619036142 Ck Kc Inc Pharmacy 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 2006-12-08
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1235242512 Andrew V Welkie Dentist 244 Adelia St, Middletown, PA 17057 2006-08-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1083191076 Johnita Hendricks Nurse Practitioner 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 2018-07-23
1881146702 Oluyemisi A Okudele Nurse Practitioner 11 Little Cir, Middletown, DE 19709-7956 2016-10-26
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Competitor

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City MIDDLETOWN
Zip Code 17057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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