Provider Demographics
NPI:1235830084
Name:AKINSELURE, TEMIDAYO (RN)
Entity Type:Individual
Prefix:
First Name:TEMIDAYO
Middle Name:
Last Name:AKINSELURE
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 1:14005 DUNWOOD VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1244
Mailing Address - Country:US
Mailing Address - Phone:240-277-2814
Mailing Address - Fax:
Practice Address - Street 1:14005 DUNWOOD VALLEY DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1244
Practice Address - Country:US
Practice Address - Phone:240-277-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1015155163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health