Provider Demographics
NPI:1619606399
Name:AKAFU, ADELINE (LPN)
Entity Type:Individual
Prefix:
First Name:ADELINE
Middle Name:
Last Name:AKAFU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:AKAFU
Other - Middle Name:
Other - Last Name:ADELINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6152 NORTHGATE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2478
Mailing Address - Country:US
Mailing Address - Phone:614-260-9004
Mailing Address - Fax:
Practice Address - Street 1:6152 NORTHGATE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2478
Practice Address - Country:US
Practice Address - Phone:614-260-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167050164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty