BOSEDE ADEDIRE


Address: 1721 Pennsylvania Ave Ste 104, Baltimore, MD 21217-3119
Phone: 4436539188

BOSEDE ADEDIRE (NPI# 1477925030) 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) 1477925030
Entity Type Individual
Full Name BOSEDE ADEDIRE
Credential CRNP FNP-BC
Practice Address 1721 Pennsylvania Ave Ste 104
Baltimore
MD 21217-3119
Practice Telephone 4436539188
Mailing Telephone 4436539188
Enumeration Date 2015-10-22
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R191042 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
615 W Macphail Rd, Suite 206, Bel Air, MD 210144309 4106385101

Office Location

Street Address 1721 PENNSYLVANIA AVE STE 104
City BALTIMORE
State MD
Zip Code 21217-3119

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962979500 Jia K Allen Pharmacist 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 2018-11-01
1982186102 Family First Home Care LLC In Home Supportive Care 1645 N Calhoun St Apt 205, Baltimore, MD 21217 2018-09-04
1821598616 Organizational Pathways, LLC Counselor 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 2018-02-18
1881131308 Domonique Matthews Registered Nurse 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 2017-01-23
1992121982 Dorren Rennes Counselor 2350 Eutaw Place, Baltimore, MD 21217 2014-03-14
1437498615 Care One Pharmacy Ltc/specialty Pharmacy Pharmacy 2277-2279 Reisterstown Road, Baltimore, MD 21217 2013-02-07
1790023448 Adeola Titilayo Adefioye Registered Nurse 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 2013-01-30
1912274150 Total Health Care Inc. Community/Behavioral Health 5101 Division Street, Baltimore, MD 21217 2011-11-16
1386816395 Kennedy Krieger Education and Communication Social Worker 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 2008-03-31
1740452762 Kennedy Krieger Education and Communication Social Worker 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 2008-03-31
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748672 Taneka Lee Nurse Practitioner 5415 Force Rd, Baltimore, MD 21206-4617 2020-10-19
1750996930 Ashley Tyisha Sydnor Nurse Practitioner 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
1750992293 Samantha Rodriguez Nurse Practitioner 3989 Boston St, Baltimore, MD 21224-5759 2020-08-10
1265040380 Pathway To Wellness Healthcare Center Nurse Practitioner 6507 Baltimore Ave, Baltimore, MD 21222-4002 2020-07-14
1679107916 Ugochi Ebiye Nurse Practitioner 6 Millwheel Ct, Baltimore, MD 21236-2548 2020-02-25
1417580168 Tiwalola Olabisi Akinsade Nurse Practitioner 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 2020-02-20
1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
1740825041 Rosemary Lokko Nurse Practitioner 2431 Jefferson St, Baltimore, MD 21205-2543 2019-11-10
1881237972 Jennifer Lillian Mothershed Nurse Practitioner 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2019-10-22
1376186775 Jessica L Mcauliffe Nurse Practitioner 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 2019-10-18
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Competitor

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City BALTIMORE
Zip Code 21217

Improve Information

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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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