MEDICARE: FEH AKENJI

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	164W00000X	Licensed Practical Nurse	LPN1008409	DC

General Provider Information

NPI Number	:	1689110165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEH AKENJI

Provider Business Mailing Address
First Line	:	5207 MELWOOD PARK AVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-7427
Country	:	US
Telephone Number	:	405-305-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	5207 MELWOOD PARK AVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-7427
Country	:	US
Telephone Number	:	405-305-2488
Fax Number	:

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

Provider Enumeration Date	:	01/09/2017
Last Update Date	:	01/09/2017

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