Healthcare Provider Details

I. General information

NPI: 1235482548
Provider Name (Legal Business Name): AKAME ERNEST EKWE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7006 GOOD LUCK RD
LANHAM MD
20706-3709
US

IV. Provider business mailing address

7006 GOOD LUCK RD
LANHAM MD
20706-3709
US

V. Phone/Fax

Practice location:
  • Phone: 301-586-7211
  • Fax:
Mailing address:
  • Phone: 301-586-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR222031
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: