Individual
MS. AKIKO ISHIDA MAKINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
75 S UNIVERSITY BLVD # 6000A, MOBILE, AL 36608-3042
(251) 660-5787
Mailing address
6509 SUGAR CREEK DR N, MOBILE, AL 36695-2734
(323) 947-3380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-159141
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-159141
ALABAMA BOARD OF NURSING
AL
Enumeration date
02/19/2019
Last updated
02/19/2019
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