Healthcare Provider Details

I. General information

NPI: 1801410725
Provider Name (Legal Business Name): URSULA EFELEFACK AKEM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2020
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 K ST NE
WASHINGTON DC
20002-4216
US

IV. Provider business mailing address

2200 OLD LARGO RD
UPPER MARLBORO MD
20774-8589
US

V. Phone/Fax

Practice location:
  • Phone: 202-839-3500
  • Fax:
Mailing address:
  • Phone: 240-441-6378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP1029223
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR204772
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: