Individual
MATTIE L. AEKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
664 LINCOLN ST, PORTSMOUTH, VA 23704-4818
(757) 393-6363
Mailing address
5701 CLEVELAND ST STE 600, VIRGINIA BEACH, VA 23462-1788
(757) 963-6507
(757) 963-6375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173353
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992169056
USA MANAGED CARE
VA
05
—
1992169056
—
VA
Enumeration date
04/05/2016
Last updated
03/06/2022
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