Provider Demographics
NPI:1497746309
Name:AKEN, PATRICIA LYNN (APRN, BC, FNP-LPA)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LYNN
Last Name:AKEN
Suffix:
Gender:F
Credentials:APRN, BC, FNP-LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 US HIGHWAY 90 E
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-5210
Mailing Address - Country:US
Mailing Address - Phone:830-931-3336
Mailing Address - Fax:830-931-3508
Practice Address - Street 1:1051 US HIGHWAY 90 E
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-5210
Practice Address - Country:US
Practice Address - Phone:830-931-3336
Practice Address - Fax:830-931-3508
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX520727363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ37074Medicare UPIN
8D3018Medicare UPIN