Provider Demographics
NPI:1861590580
Name:AKPE, NSE (PAC)
Entity type:Individual
Prefix:MR
First Name:NSE
Middle Name:
Last Name:AKPE
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-1522
Mailing Address - Country:US
Mailing Address - Phone:717-230-3906
Mailing Address - Fax:717-230-3914
Practice Address - Street 1:1821 FULTON ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-1522
Practice Address - Country:US
Practice Address - Phone:717-230-3906
Practice Address - Fax:717-230-3914
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002388L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant