Individual
ADEOLA OLUWABUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8001 STATE ROAD, MOD II, SUITE 105, PHILADELPHIA, PA 19136
(215) 688-2511
(215) 624-3681
Mailing address
8001 STATE ROAD, MOD II, SUITE 105, PHILADELPHIA, PA 19136
(215) 688-2511
(215) 624-3681
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023316
PA
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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