Healthcare Provider Details

I. General information

NPI: 1891472759
Provider Name (Legal Business Name): MISPA AKUNG AFUEH MSN, CRNP, RNC-MNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 WHISTLING DUCK DR
UPPER MARLBORO MD
20774-7138
US

IV. Provider business mailing address

1932 WHISTLING DUCK DR
UPPER MARLBORO MD
20774-7138
US

V. Phone/Fax

Practice location:
  • Phone: 301-794-6314
  • Fax:
Mailing address:
  • Phone: 301-794-6314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR185612
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR185612
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberR185612
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: