Healthcare Provider Details

I. General information

NPI: 1003142514
Provider Name (Legal Business Name): AIMEE OLIVIA AKERS CNM, CPM, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE OLIVIA FAIRMAN CPM, LM

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8434 W MAIN ST
MARSHALL VA
20115-3231
US

IV. Provider business mailing address

PO BOX 181
FLINT HILL VA
22627-0181
US

V. Phone/Fax

Practice location:
  • Phone: 540-212-4142
  • Fax:
Mailing address:
  • Phone: 540-660-2459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number0001331198
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0129000046
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number24191819
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: