Provider Demographics
NPI:1346004595
Name:AKERELE, MORUFAT ADENIKE (CNA)
Entity Type:Individual
Prefix:
First Name:MORUFAT
Middle Name:ADENIKE
Last Name:AKERELE
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 1:3403 DODGE PARK RD APT T2
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2009
Mailing Address - Country:US
Mailing Address - Phone:301-674-7917
Mailing Address - Fax:
Practice Address - Street 1:3403 DODGE PARK RD APT T2
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2009
Practice Address - Country:US
Practice Address - Phone:301-674-7917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide