Provider Demographics
NPI:1588472021
Name:AKW NP LLC
Entity type:Organization
Organization Name:AKW NP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MSN, CRNP, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:WAYSON
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CRNP, PMHNP-BC
Authorized Official - Phone:202-240-2623
Mailing Address - Street 1:44 ENGLISH RUN TURN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-8843
Mailing Address - Country:US
Mailing Address - Phone:202-240-2623
Mailing Address - Fax:202-989-2410
Practice Address - Street 1:44 ENGLISH RUN TURN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152-8843
Practice Address - Country:US
Practice Address - Phone:202-240-2623
Practice Address - Fax:202-989-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty