Provider Demographics
NPI:1528578572
Name:AKANBI, FLORENCE BISI
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:BISI
Last Name:AKANBI
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 1:117 S ELLAMONT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-3700
Mailing Address - Country:US
Mailing Address - Phone:443-858-4111
Mailing Address - Fax:
Practice Address - Street 1:406 NOTTINGHAM RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2438
Practice Address - Country:US
Practice Address - Phone:443-858-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR168874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily