Provider Demographics
NPI:1841153632
Name:AKINTUNDE, ADENIKE (RN)
Entity type:Individual
Prefix:
First Name:ADENIKE
Middle Name:
Last Name:AKINTUNDE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 GARDEN LAKE DRIVE
Mailing Address - Street 2:#516
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296
Mailing Address - Country:US
Mailing Address - Phone:407-683-1371
Mailing Address - Fax:
Practice Address - Street 1:516 GARDEN LAKE DRIVE
Practice Address - Street 2:#516
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296
Practice Address - Country:US
Practice Address - Phone:407-683-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN316581163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience