Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP11539 | AZ |
NPI | 1033695531 |
---|---|
Provider Name | Victory Akem |
First Address | Phoenix, AZ 85012-3204 |
Second Address | Phoenix, AZ 85006-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2018 |
Last Update Date | 24/01/2022 |