Provider Demographics
NPI:1629337613
Name:AKINNEYE, DOLAPO BETTY
Entity Type:Individual
Prefix:
First Name:DOLAPO
Middle Name:BETTY
Last Name:AKINNEYE
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 1:5215 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2340
Mailing Address - Country:US
Mailing Address - Phone:301-404-8116
Mailing Address - Fax:
Practice Address - Street 1:5215 NEWTON ST
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2340
Practice Address - Country:US
Practice Address - Phone:301-404-8116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA250149080265374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide