Provider Demographics
NPI:1972753176
Name:AKANBI, EVELYN OLUFUNMILAYO (APN)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:OLUFUNMILAYO
Last Name:AKANBI
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Gender:F
Credentials:APN
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Mailing Address - Street 1:615 HOPE ROAD
Mailing Address - Street 2:VISITING PHYSICIAN, BUILDING 5
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1273
Mailing Address - Country:US
Mailing Address - Phone:732-571-1000
Mailing Address - Fax:732-571-1156
Practice Address - Street 1:615 HOPE RD
Practice Address - Street 2:VISITING PHYSICIAN, BUILDING 5
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1277
Practice Address - Country:US
Practice Address - Phone:732-571-1000
Practice Address - Fax:732-571-1156
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2015-10-09
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00169500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1972753176Medicare PIN