Ajibade, Mutiat

Ajibade, Mutiat is an individual health care provider with primary practice located at 1401 S. 31 Street , Phialdelphia PA 19146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ajibade, Mutiat can be contacted via phone (215) 925-2400.

Contact Information

Primary practice address
1401 S. 31 Street Phialdelphia PA 19146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP021594 Pennsylvania

Profile Details

NPI number 1407480155
LBN Legal business name Ajibade, Mutiat
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2020
Last updated Sep 11th, 2023 - about last year

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.

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