Healthcare Provider Details

I. General information

NPI: 1316869142
Provider Name (Legal Business Name): RITA MEDICAL PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 APOLLO DR
FREDERICK MD
21702-1247
US

IV. Provider business mailing address

1213 APOLLO DR
FREDERICK MD
21702-1247
US

V. Phone/Fax

Practice location:
  • Phone: 614-556-2998
  • Fax: 301-238-7296
Mailing address:
  • Phone:
  • Fax: 301-238-7296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RITA AKOWUAH
Title or Position: OWNER
Credential:
Phone: 614-556-2998