Provider Demographics
NPI:1902478555
Name:AKINTUNDE, FOLAKE B (MSN BSN RN PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:FOLAKE
Middle Name:B
Last Name:AKINTUNDE
Suffix:
Gender:F
Credentials:MSN BSN RN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MICHAEL CT
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-9647
Mailing Address - Country:US
Mailing Address - Phone:973-723-7488
Mailing Address - Fax:
Practice Address - Street 1:15 MICHAEL CT
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-9647
Practice Address - Country:US
Practice Address - Phone:973-723-7488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09913000163WP0808X
NJ26NJ01173400363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health