Provider Demographics
NPI:1326867979
Name:ACHAMA, PATRICIA W (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:W
Last Name:ACHAMA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 HERRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3721
Mailing Address - Country:US
Mailing Address - Phone:571-276-5613
Mailing Address - Fax:
Practice Address - Street 1:2205 HERRING CREEK DR
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-3721
Practice Address - Country:US
Practice Address - Phone:571-276-5613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191457363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health