Doctor Name: | ABIOLA ADISA |
NPI Number: | 1801274147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | HHA11252 |
Business Practice Address: | 2711 Pinecreek Pl District Heights, MD - 207473618 |
Business Phone Number: | 2405597345 |
Business Fax Number: | |
Mailing Address: | 2711 Pinecreek Pl, DISTRICT HEIGHTS |
State: | MD |
Postal Code: | 207473618 |
Phone Number: | 2405597345 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2015 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | HHA11252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |