Individual provider · NPI-1

Adetutu A Aina

Nurse Practitioner, Family · Bowie, MD

NPI number1710317680
StatusActive
Last updated in NPPESDec 16, 2022

Details

NPI
1710317680
Entity type
Individual (NPI-1)
Name
Mrs. Adetutu A Aina
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2013
Certification date
Dec 16, 2022
Last updated
Dec 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyR179523MDYes
363LF0000X Nurse Practitioner, FamilyRN1013550DC
363LF0000X Nurse Practitioner, Family0024178021VA
363LF0000X Nurse Practitioner, FamilyLG-0001037DE
363LF0000X Nurse Practitioner, FamilySP017761PA

Practice location

16314 Alderwood Ln
Bowie, MD 20716-1511

Phone 240-821-0858

Mailing address

16314 Alderwood Ln
Bowie, MD 20716-1511

Phone 240-821-0858

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