KERENGE AYUK AKO-EBOT NPI 1790443075

NPI Information

NPI: 1790443075
Provider Name: KERENGE AYUK AKO-EBOT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1675 HIGHWAY 96 E
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 442-6406
Get Directions

Kerenge Ayuk Ako-ebot is a psychiatric/mental health nurse practitioner in White Bear Lake, MN with 3 years of experience. Kerenge Ayuk Ako-ebot NPI is 1790443075. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1675 HIGHWAY 96 E
WHITE BEAR LAKE, MN
ZIP 55110-617
Phone: (651) 442-6406

The NPI 1790443075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/3/2021 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	8588	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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