Provider Demographics
NPI:1689282980
Name:AKAH, CRYSTAL CHINASA (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:CHINASA
Last Name:AKAH
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 QUAIL TRACE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5203
Mailing Address - Country:US
Mailing Address - Phone:832-970-2962
Mailing Address - Fax:
Practice Address - Street 1:1503 QUAIL TRACE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5203
Practice Address - Country:US
Practice Address - Phone:832-970-2962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143008363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily