Healthcare Provider Details

I. General information

NPI: 1598311896
Provider Name (Legal Business Name): AKOSUA NEFERTETI OBENG-ADUASARE MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1198 S GOVERNORS AVE STE B100
DOVER DE
19904-6930
US

IV. Provider business mailing address

4923 OGLETOWN STANTON RD STE 200
NEWARK DE
19713-2081
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-3227
  • Fax:
Mailing address:
  • Phone: 302-225-0451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0001304
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1123557
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018444
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: