Individual
STEPHANIE AKANBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2576
Mailing address
32 WEEQUAHIC AVE, NEWARK, NJ 07112-2402
(973) 517-4131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01036000
NJ
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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