Provider Demographics
NPI:1609443597
Name:AKERS, STEPHANIE A (DNP, APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:AKERS
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:A
Other - Last Name:FOURNIEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1132 28TH AVE S STE 102
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-4420
Mailing Address - Country:US
Mailing Address - Phone:218-512-0630
Mailing Address - Fax:218-673-3529
Practice Address - Street 1:1132 28TH AVE S STE 102
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-4420
Practice Address - Country:US
Practice Address - Phone:218-512-0630
Practice Address - Fax:218-673-3529
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR43355163W00000X, 363LP0808X
MN2468394163W00000X
MN9916363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse