Individual provider · NPI-1

Stephanie Akanbi, APN

Nurse Practitioner · Hackensack, NJ

NPI number1013521244
StatusActive
Last updated in NPPESSep 4, 2020

Details

NPI
1013521244
Entity type
Individual (NPI-1)
Name
Stephanie Akanbi
Credential
APN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 4, 2020
Certification date
Sep 4, 2020
Last updated
Sep 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner26NJ01036000NJYes

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Phone 551-996-2576

Mailing address

32 Weequahic Ave
Newark, NJ 07112-2402

Phone 973-517-4131

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