Healthcare Provider Details

I. General information

NPI: 1346635638
Provider Name (Legal Business Name): IRENE OLUREMI AKINSINDE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 04/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7506 GEORGIA AVE NW
WASHINGTON DC
20012-1608
US

IV. Provider business mailing address

3217 WINTER PARK CT
UPPER MARLBORO MD
20774-7550
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-6973
  • Fax:
Mailing address:
  • Phone: 301-793-0599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number7614
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: