Individual provider · NPI-1

Beatrice Y Adegboyega, CRNP

Nurse Practitioner, Family · Allentown, PA

NPI number1053005587
StatusActive
Last updated in NPPESJun 7, 2023

Details

NPI
1053005587
Entity type
Individual (NPI-1)
Name
Mrs. Beatrice Y Adegboyega
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2023
Certification date
Jun 7, 2023
Last updated
Jun 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP027371PAYes

Practice location

1250 S Cedar Crest Blvd Ste 300
Allentown, PA 18103-6381

Phone 610-402-3110

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Phone 484-884-4500 · Fax 484-884-0699

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