Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | NP1081A | OR |
NPI | 1013298033 |
---|---|
Provider Name | Melissa D. Akin |
First Address | Boise, ID 83712-6241 |
Second Address | Ontario, OR 97914-2155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2011 |
Last Update Date | 09/12/2016 |