Individual provider · NPI-1

Aminat Funmilayo Adedayo, Nurse Practitioner

Nurse Practitioner · Saint Paul, MN

NPI number1639717333
StatusActive
Last updated in NPPESSep 25, 2020

Details

NPI
1639717333
Entity type
Individual (NPI-1)
Name
Aminat Funmilayo Adedayo
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
No
Enumeration date
Dec 13, 2019
Certification date
Sep 14, 2020
Last updated
Sep 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner6979MNYes

Practice location

671 Vandalia St
Saint Paul, MN 55114-1312

Phone 651-696-5521 · Fax 651-696-5544

Mailing address

1247 Terrace Ave
Maplewood, MN 55109-5511

Phone 651-235-4042

Other practice locations

1247 Terrace Ave
Maplewood, MN 55109-5511

Phone 651-235-4042

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