Provider Demographics
NPI:1699023515
Name:AIKINS, AKOUA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:AKOUA
Middle Name:
Last Name:AIKINS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 ALCOTT PL APT 8B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4341
Mailing Address - Country:US
Mailing Address - Phone:254-415-1527
Mailing Address - Fax:
Practice Address - Street 1:140 ALCOTT PL APT 8B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4341
Practice Address - Country:US
Practice Address - Phone:254-415-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY656487163W00000X
NYF349535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse