Provider Demographics
NPI:1891076055
Name:AKINS, LASHANDA D (CNA)
Entity Type:Individual
Prefix:MS
First Name:LASHANDA
Middle Name:D
Last Name:AKINS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 REDMOND DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-3129
Mailing Address - Country:US
Mailing Address - Phone:979-402-2222
Mailing Address - Fax:
Practice Address - Street 1:701 CHADLEY CT
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77803-4935
Practice Address - Country:US
Practice Address - Phone:979-822-1641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA8313680376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX615680100OtherPROVIDER IDENTIFICATION NUMBER