Provider Demographics
NPI:1427374867
Name:WATKINS, AKEISHA DORCIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:AKEISHA
Middle Name:DORCIA
Last Name:WATKINS
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 1:26 PHELAN CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-5965
Mailing Address - Country:US
Mailing Address - Phone:518-274-3753
Mailing Address - Fax:518-274-3753
Practice Address - Street 1:26 PHELAN CT
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-5965
Practice Address - Country:US
Practice Address - Phone:518-274-3753
Practice Address - Fax:518-274-3753
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274801374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel