Provider Demographics
NPI:1376972661
Name:AKIKI, BRIDGET (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:
Last Name:AKIKI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9935 KELLER RD APT B
Mailing Address - Street 2:
Mailing Address - City:CLARENCE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14032-9774
Mailing Address - Country:US
Mailing Address - Phone:716-206-9857
Mailing Address - Fax:
Practice Address - Street 1:9935 KELLER RD APT B
Practice Address - Street 2:
Practice Address - City:CLARENCE CENTER
Practice Address - State:NY
Practice Address - Zip Code:14032-9774
Practice Address - Country:US
Practice Address - Phone:716-206-9857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240568164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7756368669OtherNPI NUMBER