Provider Demographics
NPI:1972386787
Name:AKPABIO, EKAETTE OKON (PSYCHIATRIC MENTAL H)
Entity Type:Individual
Prefix:
First Name:EKAETTE
Middle Name:OKON
Last Name:AKPABIO
Suffix:
Gender:F
Credentials:PSYCHIATRIC MENTAL H
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 ELDBRIDGE TERRACE
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716
Mailing Address - Country:US
Mailing Address - Phone:301-213-2129
Mailing Address - Fax:
Practice Address - Street 1:3703 ELDBRIDGE TERRACE
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716
Practice Address - Country:US
Practice Address - Phone:301-213-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR182817363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health