Provider Demographics
NPI:1982422622
Name:MENSAH, CATHERINE NK (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:NK
Last Name:MENSAH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:NK
Other - Last Name:TAGOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6715 GARVEY RD
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2110
Mailing Address - Country:US
Mailing Address - Phone:443-591-1743
Mailing Address - Fax:
Practice Address - Street 1:6715 GARVEY RD
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2110
Practice Address - Country:US
Practice Address - Phone:443-591-1743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily