Individual
ADEKEMI TEMITOPE ADEDIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5222 PIRRONE CT STE 101A, SALIDA, CA 95368-9072
(415) 296-5290
Mailing address
5222 PIRRONE CT STE 101A, SALIDA, CA 95368-9072
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
250000476
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA438812
—
CA
Enumeration date
03/20/2017
Last updated
10/15/2024
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