Individual provider · NPI-1

Dr. Fadeke Adetoun Agboke

Registered Nurse, Neonatal Intensive Care · Baltimore, MD

NPI number1306579875
StatusActive
Last updated in NPPESJul 2, 2022

Details

NPI
1306579875
Entity type
Individual (NPI-1)
Name
Dr. Fadeke Adetoun Agboke
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2022
Certification date
Jul 2, 2022
Last updated
Jul 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WN0002X Registered Nurse, Neonatal Intensive CareR229314MDYes

Practice location

1800 Orleans St
Baltimore, MD 21287-0010

Phone 410-955-5000

Mailing address

9617 Oxbridge Way
Bowie, MD 20721-3035

Phone 301-520-6735

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