=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851370340
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA D AKERS FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2006
-----------------------------------------------------
Last Update Date | 08/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1500 N WESTWOOD BLVD
-----------------------------------------------------
City | POPLAR BLUFF
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63901-3318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-686-4151
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 310 COUNTY ROAD 359
-----------------------------------------------------
City | HARVIELL
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63945-7177
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-718-0594
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 138380
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 2024012067
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------