Provider Demographics
NPI:1093780744
Name:AKIN, CHERUB I (NP)
Entity Type:Individual
Prefix:
First Name:CHERUB
Middle Name:I
Last Name:AKIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1022 NIOLO ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5115
Mailing Address - Country:US
Mailing Address - Phone:808-783-5005
Mailing Address - Fax:
Practice Address - Street 1:SCHOFIELD BARRACKS HEALTH CLINIC
Practice Address - Street 2:
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96857-5460
Practice Address - Country:US
Practice Address - Phone:270-798-8536
Practice Address - Fax:270-798-8469
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily