Provider Demographics
NPI:1164943403
Name:AKINBILE, MARTHA NKEMDILIM (PMHNP-BC, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:NKEMDILIM
Last Name:AKINBILE
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19938 KENDALL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3783
Mailing Address - Country:US
Mailing Address - Phone:281-704-9777
Mailing Address - Fax:
Practice Address - Street 1:6666 HARWIN DR STE 155
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2495
Practice Address - Country:US
Practice Address - Phone:832-834-3830
Practice Address - Fax:972-947-5309
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX781497163W00000X
TXAP134053363LF0000X, 363LP0808X
NV826687363LP0808X
CA95232474363LP0808X
AZ263879363LP0808X
WI10545-33363LP0808X
WAAP61211510363LP0808X
NM64735363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily