MEDICARE: MRS. ADEKEMI ORIMISAN AKINYEMI

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	363LF0000X	Family Nurse Practitioner	R196600	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R196600	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F10181180	OTHER		AMERICAN ASSOCIATION OF NURSE PRACTITIONERS (AANP)
2	R196600	OTHER	MD	MARYLAND BOARD OF NURSING

General Provider Information

NPI Number	:	1548737299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADEKEMI ORIMISAN AKINYEMI

Provider Business Mailing Address
First Line	:	7 STRETHAM CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4739
Country	:	US
Telephone Number	:	443-872-9938
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 INGLESIDE AVE
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1317
Country	:	US
Telephone Number	:	443-551-3784
Fax Number	:	443-551-3801

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

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	05/26/2026

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