Provider Demographics
NPI:1104205871
Name:AKIN, RACHEL (FNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:AKIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 JAY ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5173
Mailing Address - Country:US
Mailing Address - Phone:718-971-5600
Mailing Address - Fax:917-382-3687
Practice Address - Street 1:408 JAY ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5173
Practice Address - Country:US
Practice Address - Phone:718-971-5600
Practice Address - Fax:917-382-3687
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily