Provider Demographics
NPI:1073736047
Name:AKINDIPE, RAMOTA ADUKE (RN)
Entity Type:Individual
Prefix:
First Name:RAMOTA
Middle Name:ADUKE
Last Name:AKINDIPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BLAKELY CIR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3815
Mailing Address - Country:US
Mailing Address - Phone:781-963-9280
Mailing Address - Fax:
Practice Address - Street 1:31 BLAKELY CIR
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3815
Practice Address - Country:US
Practice Address - Phone:781-963-9280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228212163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0710971Medicaid