Abiola Olatundun Adagunodo, Nurse Practitioner
Nurse Practitioner, Family in Montgomery, AL. Individual provider (NPI-1).
NPI number1104683044
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1104683044
- Entity type
- Individual (NPI-1)
- Name
- Abiola Olatundun Adagunodo
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F02241228 | AL | Yes |
Practice location
400 Taylor RdMontgomery, AL 36117-3512
Phone 334-277-8330
Mailing address
400 Taylor RdMontgomery, AL 36117-3512
Phone 334-300-7574
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