Provider Demographics
NPI:1164982542
Name:AKOTEY, DONNA LORRAINE
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LORRAINE
Last Name:AKOTEY
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 1:8505 MILL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-2532
Mailing Address - Country:US
Mailing Address - Phone:813-652-2024
Mailing Address - Fax:
Practice Address - Street 1:8505 MILL CREEK LN
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-2532
Practice Address - Country:US
Practice Address - Phone:813-652-2024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5238226164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPN5238226OtherFLORIDA LPN