MEDICARE: FRANKLIN AKIOYAME APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN001048	NV
2	363LF0000X	Family Nurse Practitioner	APN001048	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000000000	OTHER	NV	APPLYING

General Provider Information

NPI Number	:	1982863882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN AKIOYAME APN

Provider Business Mailing Address
First Line	:	4903 VEGAS DR STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2367
Country	:	US
Telephone Number	:	702-998-1200
Fax Number	:	702-998-1201

Provider Business Practice Location Address
First Line	:	4903 VEGAS DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2367
Country	:	US
Telephone Number	:	702-998-1200
Fax Number	:	702-998-1201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	11/05/2020

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