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Individual

MS. NICKI AKSTINAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
11107 RACETRACK ROAD, BERLIN, MD 21811-3279
(410) 208-9761
(410) 208-9764
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING #1, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16247
CA
363L00000X
Nurse Practitioner
Primary
R185129
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16247
NURSE PRACTITIONER
CA
Enumeration date
11/03/2006
Last updated
10/05/2011
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