Christianah Olubukola Adeduro, MSN, FNP-C, PMHNP-BC | |
550 W Rancho Vista Blvd Ste D, Palmdale, CA 93551-3011 | |
(661) 418-2889 | |
(661) 418-2889 |
Full Name | Christianah Olubukola Adeduro |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 550 W Rancho Vista Blvd Ste D, Palmdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194315697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95016168 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95016168 (California) | Primary |
Entity Name | Boulder Care Provider Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649838590 PECOS PAC ID: 6901217447 Enrollment ID: O20201204000986 |
Mailing Address | Practice Location Address |
---|---|
Christianah Olubukola Adeduro, MSN, FNP-C, PMHNP-BC 550 W Rancho Vista Blvd Ste D, Palmdale, CA 93551-3011 Ph: (661) 418-2889 | Christianah Olubukola Adeduro, MSN, FNP-C, PMHNP-BC 550 W Rancho Vista Blvd Ste D, Palmdale, CA 93551-3011 Ph: (661) 418-2889 |
Wendy Macedo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150 | |
Kent Elias Perttula, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 805-338-3282 | |
Dongyon Roh, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 819 Auto Center Dr, Palmdale, CA 93551 Phone: 661-267-6876 | |
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614 | |
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786 | |
Miss Stacey Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945 | |
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300 |