Healthcare Provider Details

I. General information

NPI: 1780197772
Provider Name (Legal Business Name): UGO SHERRIN AKARA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 DIVISION ST
BALTIMORE MD
21217-3121
US

IV. Provider business mailing address

23 B ST APT 315
LAUREL MD
20707-7111
US

V. Phone/Fax

Practice location:
  • Phone: 410-383-8300
  • Fax: 301-383-3160
Mailing address:
  • Phone: 617-314-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR203722
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: