Healthcare Provider Details

I. General information

NPI: 1427896471
Provider Name (Legal Business Name): DANYAME HEALTHCARE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 STORRINGTON DR
FREDERICK MD
21702-5141
US

IV. Provider business mailing address

1025 STORRINGTON DR
FREDERICK MD
21702-5141
US

V. Phone/Fax

Practice location:
  • Phone: 301-641-5100
  • Fax:
Mailing address:
  • Phone: 301-641-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE JOYCE ARTHUR-BAIDOO
Title or Position: NP
Credential: CRNP-PHM
Phone: 301-641-5100