Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MUTIAT AJIBADE, NURSE PRACTITIONER
ActivePsychiatric/Mental Health Nurse Practitioner · PHIALDELPHIA, PA
Registration Details
- NPI Number
- 1407480155
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2020 (6.1387347733151 yrs)
- Last Updated
- Sep 11, 2023
- License
-
SP021594 (PA)
Practice Information
- Address
-
1401 S. 31 STREETPHIALDELPHIA, PA, 19146Browse PA providers · Browse ZIP 19146
- Phone
- 2159252400
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
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.