Provider Demographics
NPI:1427340579
Name:AKINOLA, DEBORAH M (RN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:M
Last Name:AKINOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ZINNIA CT
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6305
Mailing Address - Country:US
Mailing Address - Phone:302-290-0341
Mailing Address - Fax:
Practice Address - Street 1:3 ZINNIA CT
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-6305
Practice Address - Country:US
Practice Address - Phone:302-290-0341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0029856163WC1500X, 163WC1600X, 163WG0000X, 163WH0200X, 163WX0106X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant