Individual
DR. RITA K ADENIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 BURMONT RD, DREXEL HILL, PA 19026-4504
(610) 513-7587
(610) 449-1175
Mailing address
1230 AGNEW DR, DREXEL HILL, PA 19026-1810
(215) 573-6036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN312491L
PA
163WA2000X
Administrator Registered Nurse
Primary
RN312491L
PA
163WC1500X
Community Health Registered Nurse
RN312491L
PA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN312491L
PA
163WH0200X
Home Health Registered Nurse
RN312491L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101540673
—
PA
Enumeration date
04/29/2021
Last updated
05/21/2021
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