Provider Demographics
NPI:1679029870
Name:AKALA, AUXILIA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:AUXILIA
Middle Name:
Last Name:AKALA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:AUXILIA
Other - Middle Name:CHINNAPPAN
Other - Last Name:AKALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:774 CHRISTIANA RD STE 109
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4248
Mailing Address - Country:US
Mailing Address - Phone:302-444-8156
Mailing Address - Fax:302-731-8158
Practice Address - Street 1:774 CHRISTIANA RD STE 109
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4248
Practice Address - Country:US
Practice Address - Phone:302-444-8156
Practice Address - Fax:302-731-8158
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL0-0034030163W00000X
DELP 0000169363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse