Healthcare Provider Details

I. General information

NPI: 1598940702
Provider Name (Legal Business Name): ANITA GAYLE AKERS LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 01/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11069 I STREET
OMAHA NE
68137
US

IV. Provider business mailing address

11069 I STREET
OMAHA NE
68137
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-4411
  • Fax: 888-507-5931
Mailing address:
  • Phone: 402-933-4411
  • Fax: 888-507-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: