Healthcare Provider Details

I. General information

NPI: 1598304545
Provider Name (Legal Business Name): SILIFAT APEKE AKINRINSOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SILIFATSILIFAT APEKE AKINRINSOLAAKINRINSOLA APEKE

II. Dates (important events)

Enumeration Date: 12/21/2019
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12112 APACHE TEARS CIR
LAUREL MD
20708-2864
US

IV. Provider business mailing address

12112 APACHE TEARS CIR
LAUREL MD
20708-2864
US

V. Phone/Fax

Practice location:
  • Phone: 301-377-8332
  • Fax:
Mailing address:
  • Phone: 301-377-8332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: