Provider Demographics
NPI:1598827172
Name:AMANKWAH WRIGHT, AKOSUA FLORA (PA-C)
Entity type:Individual
Prefix:MS
First Name:AKOSUA FLORA
Middle Name:
Last Name:AMANKWAH WRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 SURRATTS RD STE 303
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3377
Mailing Address - Country:US
Mailing Address - Phone:301-877-5607
Mailing Address - Fax:
Practice Address - Street 1:7501 SURRATTS RD STE 303
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3377
Practice Address - Country:US
Practice Address - Phone:301-877-5607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030446363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPA030446OtherPHYSICIAN ASST. LICENSE