Provider Demographics
NPI:1295361228
Name:AKINS MOBILE HEALTH & CLINICAL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:AKINS MOBILE HEALTH & CLINICAL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ADERONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINDIPE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:907-267-9303
Mailing Address - Street 1:2942 GLADYS MARIE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-1407
Mailing Address - Country:US
Mailing Address - Phone:907-267-9303
Mailing Address - Fax:
Practice Address - Street 1:2942 GLADYS MARIE CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-1407
Practice Address - Country:US
Practice Address - Phone:907-267-9303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-22
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care