Provider Demographics
NPI:1194352880
Name:AKINS, DEBORAH LOIS (CMF)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LOIS
Last Name:AKINS
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W SMOKE TREE RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-6905
Mailing Address - Country:US
Mailing Address - Phone:480-399-3193
Mailing Address - Fax:
Practice Address - Street 1:1458 N HIGLEY RD STE 102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1611
Practice Address - Country:US
Practice Address - Phone:480-272-7563
Practice Address - Fax:480-361-9358
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZC53485224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter