Provider Demographics
NPI:1841947421
Name:AKUNNA, ONYINYE M
Entity type:Individual
Prefix:
First Name:ONYINYE
Middle Name:M
Last Name:AKUNNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 TORGLER AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43611-1571
Mailing Address - Country:US
Mailing Address - Phone:567-312-3109
Mailing Address - Fax:
Practice Address - Street 1:418 N MAIN STREET, ROYAL OAK
Practice Address - Street 2:
Practice Address - City:MICHIGAN
Practice Address - State:MI
Practice Address - Zip Code:48067
Practice Address - Country:US
Practice Address - Phone:567-312-3109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.448256163W00000X
MI4704369548363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse