Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bosede Adedire, CRNPFNP-BC

Individual provider Family Nurse Practitioner · NPI 1477925030

Bosede Adedire, CRNPFNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2020, 6 years ago. Practices with Mnr Industries, LLC, a 143-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2015
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Practice location Address checks out

1721 Pennsylvania Ave Ste 104
Baltimore, MD 21217-3119
Phone: (443) 653-9188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 615 W Macphail Rd, Bel Air, MD 21014-4309 — (410) 638-5101
  • 11055 Little Patuxent Pkwy Ste 103, Columbia, MD 21044-2908 — (410) 740-0770

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R191042 (MD)

Record details

NPI number1477925030
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNPFNP-BC
Sole proprietorNo
NPI enumeratedOctober 22, 2015
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

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