Eric Akhiwu, FNP-BC

Individual provider Active NPI Primary Care Nurse Practitioner · Lillington, NC

NPI 1386358349 · NPPES record last updated Nov 28, 2023

Key facts

NPI
1386358349
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
5019201 (NC)
Practice address
40 Autumn Fern TRL
Lillington, NC 27546-5155
Phone
(910) 364-0971
NPI assigned
Jan 12, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5019201NCMDPrimary Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5019201 NC Yes

Addresses

Primary practice location

40 Autumn Fern TRL
Lillington, NC 27546-5155

Mailing address

40 Autumn Fern TRL
Lillington, NC 27546-5155
Phone (910) 364-0971

Other providers in Lillington, NC

All providers in Lillington, NC · Primary Care Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.