IndividualActive
Ademola Bisiriyu
NPI 1649955139 · Psychiatric/Mental Health Nurse Practitioner · Bowie, MD
Provider details
- NPI number
- 1649955139
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R220757 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16900 Science Dr
Bowie, MD 20715-4401
Phone: (240) 617-1399
Fax: (240) 614-2133
Approximate (ZIP-level) locationGet directions
Mailing address
16900 Science Dr Ste 208
Bowie, MD 20715-4401
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.