DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MUTIAT AJIBADE, NURSE PRACTITIONER

Active

MUTIAT AJIBADE, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PHIALDELPHIA, Pennsylvania. NPI 1407480155 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · PHIALDELPHIA, PA

Registration Details

NPI Number
1407480155
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2020 (6.4134660333963 yrs)
Last Updated
Sep 11, 2023
License
SP021594 (PA)

Practice Information

Address
1401 S. 31 STREET
PHIALDELPHIA, PA, 19146
Browse PA providers · Browse ZIP 19146
Phone
2159252400
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.