Healthcare Provider Details

I. General information

NPI: 1215536883
Provider Name (Legal Business Name): ELLA MENSAH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E MAIN ST STE 227
WESTMINSTER MD
21157-5034
US

IV. Provider business mailing address

6613 SUNSET DR
SYKESVILLE MD
21784-6373
US

V. Phone/Fax

Practice location:
  • Phone: 443-399-2736
  • Fax: 443-393-9770
Mailing address:
  • Phone: 240-264-9036
  • Fax: 443-399-2736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR217496
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR217496
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR217496
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: