Provider Demographics
NPI:1134686843
Name:AKINWANDE, FUNMILAYO LINDA (HHA)
Entity Type:Individual
Prefix:MRS
First Name:FUNMILAYO
Middle Name:LINDA
Last Name:AKINWANDE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8643 GREENBELT RD APT T3
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2414
Mailing Address - Country:US
Mailing Address - Phone:301-675-5533
Mailing Address - Fax:
Practice Address - Street 1:8643 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2414
Practice Address - Country:US
Practice Address - Phone:301-675-5523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14198374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCHHA14198OtherBOARD OF NURSING