Healthcare Provider Details

I. General information

NPI: 1427340579
Provider Name (Legal Business Name): DEBORAH M AKINOLA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 05/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ZINNIA CT
BEAR DE
19701-6305
US

IV. Provider business mailing address

3 ZINNIA CT
BEAR DE
19701-6305
US

V. Phone/Fax

Practice location:
  • Phone: 302-290-0341
  • Fax:
Mailing address:
  • Phone: 302-290-0341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberL1-0029856
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberL1-0029856
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberL1-0029856
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberL1-0029856
License Number StateDE
# 5
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberL1-0029856
License Number StateDE
# 6
Primary TaxonomyN
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberL1-0029856
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: