Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 104162763 | NC |
NPI | 1033702527 |
---|---|
Provider Name | Asya Akins |
First Address | Fayetteville, NC 28303-3421 |
Second Address | Fayetteville, NC 28303-3421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2021 |
Last Update Date | 16/02/2021 |