Individual provider · Type 1 NPI
Mary Tolulope Atanda
Psychiatric/Mental Health Nurse Practitioner · Charleston, WV
NPI number
1710824016
Active
Practice location
4615 Maccorkle Ave SE
Charleston, WV 25304-1849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 104118 (WV) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710824016
Mary Tolulope Atanda's National Provider Identifier is 1710824016, issued on May 4, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charleston, WV. The record was last updated on May 4, 2026.