Abiodun O Adiasor
Registered Nurse, Psych/Mental Health, Adult in Philadelphia, PA. Individual provider (NPI-1).
NPI number1255006078
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1255006078
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Abiodun O Adiasor
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2021
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 743322 | PA | Yes |
Practice location
3300 Henry AvePhiladelphia, PA 19129-1141
Phone 215-475-3400
Mailing address
7725 Doe LnGlenside, PA 19038-7227
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