Individual
ADEYEMI CHRISTANAH ADENIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
18 W BLACKWELL ST, DOVER, NJ 07801-3841
(973) 328-3344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG07190264
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2310738
MA
Other
Enumeration date
07/30/2019
Last updated
08/22/2022
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