Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 568 | NM |
NPI | 1023041035 |
---|---|
Provider Name | Susan M. Akins |
First Address | Taos, NM 87571-6268 |
Second Address | Taos, NM 87571-6268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 23/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120082604 | (05) | TX |
C18939 | (02) |