Provider Demographics
NPI:1992235725
Name:AKEREJAH, TOYIN IDE (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:TOYIN
Middle Name:IDE
Last Name:AKEREJAH
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MRS
Other - First Name:TOYIN
Other - Middle Name:IDE
Other - Last Name:ASEGIEME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6604 MANTON WAY
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2489
Mailing Address - Country:US
Mailing Address - Phone:240-821-2230
Mailing Address - Fax:240-654-8986
Practice Address - Street 1:2250 HICKORY RD STE 240
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-2225
Practice Address - Country:US
Practice Address - Phone:302-781-4252
Practice Address - Fax:302-781-4257
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR129084163WP0807X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent