Provider Demographics
NPI:1831877018
Name:AKUKA, LEAH MARGARET (NP-C)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARGARET
Last Name:AKUKA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 DUFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-7421
Mailing Address - Country:US
Mailing Address - Phone:845-300-8964
Mailing Address - Fax:
Practice Address - Street 1:1490 COMMONS CIR STE 200
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2716
Practice Address - Country:US
Practice Address - Phone:214-348-7611
Practice Address - Fax:214-348-0129
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034416163WG0600X
TX727781363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAG06230253OtherAANP