Wilson Akenji

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1568720175 · NPPES record last updated Aug 10, 2023

Key facts

NPI
1568720175
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1004538 (DC)
Practice address
7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616
Phone
(202) 723-3060
Fax
(202) 636-1936
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN1004538DCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1004538 DC Yes
Home Health Aide 374U00000X

Addresses

Primary practice location

7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616

Mailing address

2312 Rhode Island Ave NE
Washington, DC 20018-2829

Other providers in Washington, DC

All providers in Washington, DC · Licensed Practical Nurse in District of Columbia

Sources for this page

Verify at the official NPI Registry.