Individual
IBUKUN AGBEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9801 GEORGIA AVE STE 224, SILVER SPRING, MD 20902-5276
(301) 593-9800
Mailing address
6122 LANDOVER RD, CHEVERLY, MD 20785-1016
(301) 322-2411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196142
MD
Other
Enumeration date
11/28/2016
Last updated
01/09/2018
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