Healthcare Provider Details

I. General information

NPI: 1144641887
Provider Name (Legal Business Name): ADERONKE INI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2013
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 BENNING RD NE
WASHINGTON DC
20002-4569
US

IV. Provider business mailing address

13109 BURLEIGH ST APT 9
UPPER MARLBORO MD
20774-1919
US

V. Phone/Fax

Practice location:
  • Phone: 202-621-8713
  • Fax:
Mailing address:
  • Phone: 202-725-2270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1051017
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA10125
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: