Provider Demographics
NPI:1215606751
Name:AKINWOLE, ABIODUN O
Entity Type:Individual
Prefix:
First Name:ABIODUN O
Middle Name:
Last Name:AKINWOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-5503
Mailing Address - Country:US
Mailing Address - Phone:240-616-5986
Mailing Address - Fax:
Practice Address - Street 1:2802 RED OAK LN
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706-5503
Practice Address - Country:US
Practice Address - Phone:240-616-5986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide