Mutiat Ajibade, NURSE PRACTITIONER
NPI #1407480155 in Phialdelphia, Pennsylvania
Provider Information
- NPI Number
- 1407480155
- Entity Type
- Individual
- Name
- Mutiat Ajibade, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Mar 2, 2020
- Last Updated
- Sep 11, 2023
Practice Location
- Address
- 1401 S. 31 STREET
- City
- Phialdelphia
- State
- Pennsylvania
- ZIP Code
- 19146
- Phone
- (215) 925-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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