Provider Demographics
NPI:1245101351
Name:AKINBOLU, AFUSA
Entity type:Individual
Prefix:
First Name:AFUSA
Middle Name:
Last Name:AKINBOLU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3202 REED ST
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1548
Mailing Address - Country:US
Mailing Address - Phone:832-884-9963
Mailing Address - Fax:
Practice Address - Street 1:3202 REED ST
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706-1548
Practice Address - Country:US
Practice Address - Phone:832-884-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide