Provider Demographics
NPI:1518697978
Name:ORR, AKITA CHANDRA (LPN)
Entity Type:Individual
Prefix:
First Name:AKITA
Middle Name:CHANDRA
Last Name:ORR
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 1:248 BOWMANVILLE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3347
Mailing Address - Country:US
Mailing Address - Phone:330-813-3410
Mailing Address - Fax:
Practice Address - Street 1:248 BOWMANVILLE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3347
Practice Address - Country:US
Practice Address - Phone:330-813-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.171762.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse