MEDICARE: MS. DAWN AKINDELE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	NA08774502	TX

General Provider Information

NPI Number	:	1396343315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN AKINDELE

Provider Business Mailing Address
First Line	:	7619 CHALK HL
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6156
Country	:	US
Telephone Number	:	832-882-7937
Fax Number	:

Provider Business Practice Location Address
First Line	:	7619 CHALK HL
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6156
Country	:	US
Telephone Number	:	832-882-7937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	10/12/2020

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