Provider Demographics
NPI:1801336292
Name:AKER, COURTNEY (RN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:AKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12112 FOUNTAINBROOK BLVD
Mailing Address - Street 2:APARTMENT 322
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7022
Mailing Address - Country:US
Mailing Address - Phone:813-597-7939
Mailing Address - Fax:
Practice Address - Street 1:580 HOLBROOK CIR
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6332
Practice Address - Country:US
Practice Address - Phone:407-342-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician