Provider Demographics
NPI:1073370367
Name:ADEWUMI, ESTHER AINA
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:AINA
Last Name:ADEWUMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 BRIGHTSEAT RD APT 202
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3528
Mailing Address - Country:US
Mailing Address - Phone:202-725-9364
Mailing Address - Fax:
Practice Address - Street 1:2248 BRIGHTSEAT RD APT 202
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-3528
Practice Address - Country:US
Practice Address - Phone:202-725-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200003607374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide