Individual provider · NPI-1

Tolulope Abimbola Adekanla, NP

Nurse Practitioner, Family · Newark, NJ

NPI number1043087638
StatusActive
Last updated in NPPESDec 5, 2023

Details

NPI
1043087638
Entity type
Individual (NPI-1)
Name
Tolulope Abimbola Adekanla
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2023
Certification date
Dec 5, 2023
Last updated
Dec 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ14967700NJYes

Practice location

65 Bergen St
Newark, NJ 07107-3001

Phone 973-393-3479

Mailing address

1391 Omara Dr
Union, NJ 07083-5210

Phone 973-393-3474

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