Provider Demographics
NPI:1700014370
Name:KONATE, DJAKARIA (RN)
Entity Type:Individual
Prefix:MR
First Name:DJAKARIA
Middle Name:
Last Name:KONATE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 15244 BOX 33
Mailing Address - Street 2:APO
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205-5244
Mailing Address - Country:US
Mailing Address - Phone:8227-917-5430
Mailing Address - Fax:8227-917-7020
Practice Address - Street 1:UNIT 15244 BOX 33
Practice Address - Street 2:APO
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205-5244
Practice Address - Country:US
Practice Address - Phone:8227-917-5430
Practice Address - Fax:8227-917-7020
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001202120163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse