Provider Demographics
NPI:1104460088
Name:ADELU, DARLEEN (NP)
Entity type:Individual
Prefix:
First Name:DARLEEN
Middle Name:
Last Name:ADELU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 HIGH ST FL 2A
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1476
Mailing Address - Country:US
Mailing Address - Phone:609-474-0120
Mailing Address - Fax:609-474-0121
Practice Address - Street 1:137 HIGH ST FL 2A
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1476
Practice Address - Country:US
Practice Address - Phone:609-474-0120
Practice Address - Fax:609-474-0121
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00937800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00937800OtherFAMILY NP