Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP3827 | AZ |
N | 363LN0000X | Nurse Practitioner - Neonatal | RN124410 | AZ |
NPI | 1104130236 |
---|---|
Provider Name | Mrs. Shelley Anne Akey |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2010 |
Last Update Date | 09/12/2020 |