Healthcare Provider Details

I. General information

NPI: 1205380391
Provider Name (Legal Business Name): TANYA AKERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2016
Last Update Date: 08/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 N TREMONT ST
INDIANAPOLIS IN
46222-3734
US

IV. Provider business mailing address

541 N TREMONT ST
INDIANAPOLIS IN
46222-3734
US

V. Phone/Fax

Practice location:
  • Phone: 317-938-4181
  • Fax:
Mailing address:
  • Phone: 317-938-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: