Provider Demographics
NPI:1801065362
Name:ADELAGUNJA, ADETEJU OLUSEUN (RN)
Entity type:Individual
Prefix:MRS
First Name:ADETEJU
Middle Name:OLUSEUN
Last Name:ADELAGUNJA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19B KINGS CIR
Mailing Address - Street 2:BUCKINGHAM PLACE TOWNHOMES
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1482
Mailing Address - Country:US
Mailing Address - Phone:302-444-4595
Mailing Address - Fax:
Practice Address - Street 1:19B KINGS CIR
Practice Address - Street 2:BUCKINGHAM PLACE TOWNHOMES
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1482
Practice Address - Country:US
Practice Address - Phone:302-444-4595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0031909163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse