Provider Demographics
NPI:1942776463
Name:AKPO, VICTORINE L (NP)
Entity Type:Individual
Prefix:
First Name:VICTORINE
Middle Name:L
Last Name:AKPO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21926 AVALON QUEEN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5922
Mailing Address - Country:US
Mailing Address - Phone:402-612-3729
Mailing Address - Fax:
Practice Address - Street 1:21926 AVALON QUEEN DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5922
Practice Address - Country:US
Practice Address - Phone:402-612-3729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138893363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care