Fadojutimi, Modupe

Fadojutimi, Modupe is an sole proprietor health care provider with primary practice located at 1 Magnolia Dr , La Plata MD 20646-9357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Fadojutimi, Modupe can be contacted via phone (301) 934-4001.

Contact Information

Primary practice address
1 Magnolia Dr La Plata MD 20646-9357
Phone: (301) 934-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R194540 Maryland

Profile Details

NPI number 1952860660
LBN Legal business name Fadojutimi, Modupe
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 5 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

Popular Providers