Individual
NINA MICHELLE AXIOTAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1320 19TH ST NW STE 202, WASHINGTON, DC 20036-1638
(202) 417-7568
Mailing address
1320 19TH ST NW STE 202, WASHINGTON, DC 20036-1638
(202) 417-7568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DO210001700
DC
2084P0804X
Child & Adolescent Psychiatry Physician
0102208635
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO210001700
DC
2084P0804X
Child & Adolescent Psychiatry Physician
H0098406
MD
Other
Enumeration date
03/23/2019
Last updated
07/08/2024
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