Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 26NR09998400 | NJ |
NPI | 1083167423 |
---|---|
Provider Name | Ellen A Akwei |
First Address | Deerfield Bch, FL 33441-1610 |
Second Address | Deerfield Bch, FL 33441-1610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2016 |
Last Update Date | 02/08/2016 |