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MARY TOLULOPE ATANDA
NPI 1710824016
Nurse Practitioner - Psychiatric/Mental Health in Charleston, WV

Active since May 04, 2026
4615 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 356-7035 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Tolulope Atanda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY TOLULOPE ATANDA (NPI 1710824016) is an individual psychiatric/mental health provider in Charleston, West Virginia, licensed in West Virginia (104118) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1710824016
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY TOLULOPE ATANDA
Location Address4615 MACCORKLE AVE SECharleston, WV 25304-1849
Mailing Address4615 Maccorkle Ave SeCharleston, WV 25304-1849 · (304) 356-7035
Phone(304) 356-7035
Sole ProprietorYes
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1710824016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WV · 104118
4615 MACCORKLE AVE SE, Charleston, WV 25304
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Atanda's NPI number?

The NPI number for Mary Atanda is 1710824016. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Mary Atanda located?

Mary Atanda practices at 4615 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 356-7035.

What is Mary Atanda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Atanda was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.