Provider Demographics
NPI:1336399237
Name:AKUKWE, LOUISA NNEKA (RN)
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:NNEKA
Last Name:AKUKWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LOUISA
Other - Middle Name:NNEKA
Other - Last Name:AKUKWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:455 CAMBRIDGE ST
Mailing Address - Street 2:APT 1.
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-2023
Mailing Address - Country:US
Mailing Address - Phone:508-208-0390
Mailing Address - Fax:
Practice Address - Street 1:455 CAMBRIDGE ST
Practice Address - Street 2:APT 1.
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-2023
Practice Address - Country:US
Practice Address - Phone:508-208-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213672163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent