Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R214885 | MD |
NPI | 1033731468 |
---|---|
Provider Name | Nelley Acheampong-Buadu |
First Address | Silver Spring, MD 20906-5797 |
Second Address | Silver Spring, MD 20906-5797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2020 |
Last Update Date | 07/05/2020 |