Individual
MR. AYODEJI OLUMIDE IBIDAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
6518 RIDGEBORNE DR, ROSEDALE, MD 21237-3803
(301) 693-5524
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R182459
MD
Other
Enumeration date
07/26/2021
Last updated
08/06/2021
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