Healthcare Provider Details

I. General information

NPI: 1730862186
Provider Name (Legal Business Name): JUDY LYNN AKER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 N ACADEMY BLVD
COLORADO SPRINGS CO
80918-4000
US

IV. Provider business mailing address

5225 N ACADEMY BLVD STE 302
COLORADO SPRINGS CO
80918-4036
US

V. Phone/Fax

Practice location:
  • Phone: 719-331-9483
  • Fax:
Mailing address:
  • Phone: 719-331-9483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number0109677
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: