Provider Demographics
NPI:1891535746
Name:AMPONSAH, PATIENCE DAPAA (FNP-C)
Entity type:Individual
Prefix:
First Name:PATIENCE
Middle Name:DAPAA
Last Name:AMPONSAH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14927 ASHFORD CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3767
Mailing Address - Country:US
Mailing Address - Phone:240-938-5504
Mailing Address - Fax:
Practice Address - Street 1:14927 ASHFORD CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3767
Practice Address - Country:US
Practice Address - Phone:240-938-5504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR242322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily