Individual provider · NPI-1
Maureen N Akaba
Nurse Practitioner, Family · Southfield, MI
NPI number1760103907
StatusActive
Last updated in NPPESSep 6, 2022
Details
- NPI
- 1760103907
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maureen N Akaba
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2022
- Certification date
- Sep 6, 2022
- Last updated
- Sep 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704264496 | MI | Yes |
Practice location
30113 Sparkleberry DrSouthfield, MI 48076-2076
Phone 248-227-5924
Mailing address
30113 Sparkleberry DrSouthfield, MI 48076-2076
Phone 248-227-5924
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