NPI Profile for Dr ALAN T AKITA in SAN BERNARDINO, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1245926849 |
|
| Status | Active | |
| Credentials | DNP, FNP-BC | |
| Entity | Individual | |
| Enumeration date | 04/17/2023 | |
| Last updated | 03/20/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALAN T AKITA
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