Organization
ADVANCE MOBILE HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADETIMBO ADEDIRAN CRNP (FAMILY NURSE PRACTITIONER)
(240) 722-9763
Entity
Organization
Contact information
Practice address
1374 HALSTEAD RD, PARKVILLE, MD 21234-6006
(240) 722-9763
Mailing address
14028 VISTA DR, LAUREL, MD 20707-6845
(240) 722-9763
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
R194854
MD
363LF0000X
Family Nurse Practitioner
R194854
MD
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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