Davida Akins
Individual provider Active NPI Registered Nurse · Clover, SC
NPI 1619397015 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1619397015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 104947 (SC)
- Practice address
- 3900 Shasta Cir
Clover, SC 29710-6914 - Phone
- (803) 675-4576
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104947 | SC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 104947 | SC | Yes |
Addresses
Primary practice location
3900 Shasta Cir
Clover, SC 29710-6914
Mailing address
3900 Shasta Cir
Clover, SC 29710-6914
Phone (803) 675-4576
Other providers in Clover, SC
- Affinity Health Center
- Hussam Ahmed
- Raquel S Avore
- Jessica Rae Babb-Wright
- Back 2 Your Roots, PLLC
- Michael J. Ballard
- Evelyn Barkaway
All providers in Clover, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.