Provider Demographics
NPI:1477980654
Name:AKINIYI, CHRISTIANA
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:
Last Name:AKINIYI
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 1:3639 ELDER OAKS BLVD
Mailing Address - Street 2:APT 9307
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3378
Mailing Address - Country:US
Mailing Address - Phone:301-728-1989
Mailing Address - Fax:
Practice Address - Street 1:3639 ELDER OAKS BLVD
Practice Address - Street 2:APT 9307
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3378
Practice Address - Country:US
Practice Address - Phone:301-728-1989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA4868374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide