Provider Demographics
NPI:1114288040
Name:AKINWALE, RUTH O (CNA)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:O
Last Name:AKINWALE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10009 GREENBELT RD APT 204
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2231
Mailing Address - Country:US
Mailing Address - Phone:240-550-9052
Mailing Address - Fax:
Practice Address - Street 1:10009 GREENBELT RD
Practice Address - Street 2:APT 204
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:240-550-9052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAHI10312163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health