Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 21597 | CA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 21597 | CA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 21597 | CA |
NPI | 1083980247 |
---|---|
Provider Name | Aderonke Akande |
First Address | Wildomar, CA 92595-7636 |
Second Address | Riverside, CA 92506-2506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 09/05/2017 |