Provider Demographics
NPI:1225261035
Name:ADENLE, YETUNDE
Entity type:Individual
Prefix:
First Name:YETUNDE
Middle Name:
Last Name:ADENLE
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 1:13555 W MCDOWELL RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2624
Mailing Address - Country:US
Mailing Address - Phone:623-535-0740
Mailing Address - Fax:623-512-4460
Practice Address - Street 1:955 E WONDER RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7798
Practice Address - Country:US
Practice Address - Phone:540-741-7893
Practice Address - Fax:540-741-9778
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301095370207V00000X
VA0101262797207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology