Healthcare Provider Details

I. General information

NPI: 1033702527
Provider Name (Legal Business Name): ASYA AKINS WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4551 YADKIN RD
FAYETTEVILLE NC
28303-3421
US

IV. Provider business mailing address

4551 YADKIN RD
FAYETTEVILLE NC
28303-3421
US

V. Phone/Fax

Practice location:
  • Phone: 866-942-7762
  • Fax:
Mailing address:
  • Phone: 866-942-7762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number104162763
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: