Healthcare Provider Details

I. General information

NPI: 1548872385
Provider Name (Legal Business Name): CANUELLA SERWAH AKROFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2020
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 RACE ROAD STE 403
ROSEDALE MD
21237-2123
US

IV. Provider business mailing address

9314 CHERRY HILL RD APT 1112
COLLEGE PARK MD
20740-1254
US

V. Phone/Fax

Practice location:
  • Phone: 443-868-7101
  • Fax: 443-732-0054
Mailing address:
  • Phone: 202-509-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN215739
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN215739
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: