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Individual

MRS. GANIYAT ADEYEMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
7801 STANLEY LN, SEVERN, MD 21144-1572
(240) 381-1604
Mailing address
600 RIDGELY AVE, STE 231, ANNAPOLIS, MD 21401-1092
(240) 381-1604

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R197794
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R197794
MD

Other

Enumeration date
09/22/2016
Last updated
07/26/2021
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