MEDICARE: VERA ACQUAH PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRNCNP0041459	OH

General Provider Information

NPI Number	:	1558216614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERA ACQUAH PMHNP-BC

Provider Business Mailing Address
First Line	:	264 FOX GLEN DR E
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-7752
Country	:	US
Telephone Number	:	614-404-5834
Fax Number	:

Provider Business Practice Location Address
First Line	:	264 FOX GLEN DR E
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-7752
Country	:	US
Telephone Number	:	614-404-5834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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