Provider Demographics
NPI:1447202155
Name:AKINS, NANCY MARIE (RN MSN,CNS,CC ACNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE
Last Name:AKINS
Suffix:
Gender:F
Credentials:RN MSN,CNS,CC ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 ELLENFIELD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4541
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:
Practice Address - Street 1:164 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2853
Practice Address - Country:US
Practice Address - Phone:401-793-4102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX569487163W00000X, 363LA2100X
TXAP107801363LA2100X
RIAPRN03275363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y1901OtherBLUE CROSS BLUE SHIELD
LA1822566Medicaid
TX185849001Medicaid
TXP00655668OtherRAILROAD MEDICARE
TX8L25791Medicare PIN
TXP00655668OtherRAILROAD MEDICARE