Provider Demographics
NPI:1205656972
Name:LAFORTUNE, AKINI MAURICE (RN)
Entity type:Individual
Prefix:MR
First Name:AKINI
Middle Name:MAURICE
Last Name:LAFORTUNE
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 1:806 CEDAR HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-6410
Mailing Address - Country:US
Mailing Address - Phone:202-276-9645
Mailing Address - Fax:
Practice Address - Street 1:806 CEDAR HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-6410
Practice Address - Country:US
Practice Address - Phone:202-276-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1008208163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse