Ibukun Agbede, CRNP
Nurse Practitioner, Family in Silver Spring, MD. Individual provider (NPI-1).
NPI number1952844706
StatusActive
Last updated in NPPESJan 9, 2018
Details
- NPI
- 1952844706
- Entity type
- Individual (NPI-1)
- Name
- Ibukun Agbede
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2016
- Last updated
- Jan 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R196142 | MD | Yes |
Practice location
9801 Georgia Ave Ste 224Silver Spring, MD 20902-5276
Phone 301-593-9800
Mailing address
6122 Landover RdCheverly, MD 20785-1016
Phone 301-322-2411
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