| Organization Name: | CVS MINUTE CLINIC |
| NPI Number: | 1003260324 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVY AKUA FENIN (FNP) |
| Mailing Address: | 101 Lexington Cir Peachtree City |
| State: | GA US |
| Postal Code: | 302696845 |
| Phone Number: | 7704861639 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2016 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN185101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |