BOLAJI KEHINDE ADETIBA MSN-ANP NPI 1568700979

NPI Information

  • NPI: 1568700979
  • Provider Name: BOLAJI KEHINDE ADETIBA, MSN-ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 9 MEDICAL PKWY
    STE 308
    DALLAS, TX
    ZIP 75234
  • Phone: (972) 888-7240

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NPI Details

Bolaji Kehinde Adetiba, MSN-ANP is an adult health nurse practitioner in Dallas, TX. Bolaji Kehinde Adetiba, MSN-ANP NPI is 1568700979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 MEDICAL PKWY
STE 308
DALLAS, TX
ZIP 75234-858
Phone: (972) 888-7240
Fax: (972) 888-7285

The enumeration date for this NPI number is 1/18/2013 and was last updated on 12/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health731957TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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