Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODUPE FADOJUTIMI, NURSE PRACTITIONER
Active Sole ProprietorMODUPE FADOJUTIMI, NURSE PRACTITIONER is a Primary Care Nurse Practitioner healthcare provider located in LA PLATA, Maryland. NPI 1952860660 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · LA PLATA, MD
Registration Details
- NPI Number
- 1952860660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2019 (7.3850160425783 yrs)
- Last Updated
- Mar 13, 2019
- License
-
R194540 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 MAGNOLIA DRLA PLATA, MD, 206469357Browse MD providers · Browse ZIP 20646
- Phone
- 3019344001
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in LA PLATA, MD
| Name | Credential | NPI |
|---|---|---|
| KELLI HILL GOLDSBOROUGH | FNP-C | 1912485244 |
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.