Provider Demographics
NPI:1871005058
Name:AKAH, NANCY C (NP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:C
Last Name:AKAH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:C
Other - Last Name:ONYEBUEKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:8001 BROWNSTONE RD APT 927
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-8732
Mailing Address - Country:US
Mailing Address - Phone:615-400-7070
Mailing Address - Fax:
Practice Address - Street 1:6363 N STATE HIGHWAY 161 STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2239
Practice Address - Country:US
Practice Address - Phone:469-200-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-28
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily