Individual provider · NPI-1

Olatokunbo Gbadebo, NP

Nurse Practitioner, Family · Smyrna, DE

NPI number1942588967
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1942588967
Entity type
Individual (NPI-1)
Name
Olatokunbo Gbadebo
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2011
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyLG 0000454DEYes
207Q00000X Family MedicineLG-0000454DE
2083X0100X Preventive Medicine, Occupational MedicineLG-0000454DE

Practice location

665 S Carter Rd Unit 2
Smyrna, DE 19977-7728

Phone 302-467-2646 · Fax 302-467-2857

Mailing address

303 E Pembrooke Dr
Smyrna, DE 19977-4004

Phone 302-981-3755

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