Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | LG-0000925 | DE |
NPI | 1003270927 |
---|---|
Provider Name | Adeyoyin R Esaka |
First Address | Newark, DE 19713-2049 |
Second Address | Newark, DE 19718-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 06/07/2016 |