Adeyemo, Monisola A

Adeyemo, Monisola A is an sole proprietor health care provider with primary practice located at 1400 Mercantile Ln Suite 180, Largo MD 20774-5341. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Adeyemo, Monisola A can be contacted via phone (301) 925-7022.

Contact Information

Primary practice address
1400 Mercantile Ln Suite 180 Largo MD 20774-5341
Phone: (301) 925-7022
Fax: (301) 925-4463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X R105387 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R105387 Maryland

Profile Details

NPI number 1881754349
LBN Legal business name Adeyemo, Monisola A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jan 23rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881754349 NPPES
Maryland MEDICAID 810600200

Popular Providers