Individual
BOSEDE ADEDIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP FNP-BC
Contact information
Practice address
1721 PENNSYLVANIA AVE STE 104, BALTIMORE, MD 21217-3119
(443) 653-9188
Mailing address
1721 PENNSYLVANIA AVE STE 104, BALTIMORE, MD 21217-3119
(443) 653-9188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R191042
MD
Other
Enumeration date
10/22/2015
Last updated
12/09/2020
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