Healthcare Provider Details

I. General information

NPI: 1497746309
Provider Name (Legal Business Name): PATRICIA LYNN AKEN APRN, BC, FNP-LPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 US HIGHWAY 90 E
CASTROVILLE TX
78009-5210
US

IV. Provider business mailing address

1051 US HIGHWAY 90 E
CASTROVILLE TX
78009-5210
US

V. Phone/Fax

Practice location:
  • Phone: 830-931-3336
  • Fax: 830-931-3508
Mailing address:
  • Phone: 830-931-3336
  • Fax: 830-931-3508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number520727
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: