Healthcare Provider Details

I. General information

NPI: 1528972031
Provider Name (Legal Business Name): MAAME APPOH SEIWAA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 SUNRISE AVE STE 260
ROSEVILLE CA
95661-4528
US

IV. Provider business mailing address

775 SUNRISE AVE STE 260
ROSEVILLE CA
95661-4528
US

V. Phone/Fax

Practice location:
  • Phone: 240-665-2073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95041759
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: