Provider Demographics
NPI:1922807023
Name:LANIHUN, ADEWALE M (NP)
Entity type:Individual
Prefix:
First Name:ADEWALE
Middle Name:M
Last Name:LANIHUN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S MERRIMENT DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5307
Mailing Address - Country:US
Mailing Address - Phone:267-746-3499
Mailing Address - Fax:
Practice Address - Street 1:16 S MERRIMENT DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5307
Practice Address - Country:US
Practice Address - Phone:267-746-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0010826363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology