Provider Demographics
NPI:1912754839
Name:BRENYA, AKUA (FNP- BC)
Entity type:Individual
Prefix:
First Name:AKUA
Middle Name:
Last Name:BRENYA
Suffix:
Gender:F
Credentials:FNP- BC
Other - Prefix:
Other - First Name:AKUA
Other - Middle Name:
Other - Last Name:ENTSUAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:861 SKYRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5111
Mailing Address - Country:US
Mailing Address - Phone:352-217-0935
Mailing Address - Fax:
Practice Address - Street 1:861 SKYRIDGE RD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5111
Practice Address - Country:US
Practice Address - Phone:352-217-0935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9310396163W00000X
FL11027874363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse