Provider Demographics
NPI:1912708439
Name:IPADEOLA, MUIDEEN A (APN)
Entity type:Individual
Prefix:
First Name:MUIDEEN
Middle Name:A
Last Name:IPADEOLA
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-7118
Mailing Address - Fax:856-325-5222
Practice Address - Street 1:100 BOWMAN DR
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9612
Practice Address - Country:US
Practice Address - Phone:856-355-7118
Practice Address - Fax:856-325-5222
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15298300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health