Healthcare Provider Details

I. General information

NPI: 1972565638
Provider Name (Legal Business Name): LAURA AKERS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 7TH ST S STE 205
ST PETERSBURG FL
33701-4708
US

IV. Provider business mailing address

601 7TH ST S STE 205
ST PETERSBURG FL
33701-4708
US

V. Phone/Fax

Practice location:
  • Phone: 727-893-6234
  • Fax: 727-553-7798
Mailing address:
  • Phone: 727-893-6234
  • Fax: 727-553-7798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN3163182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: