=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518811215
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ADELA A AKOMONEH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2026
-----------------------------------------------------
Last Update Date | 02/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 819 REMBRANDT CIR
-----------------------------------------------------
City | IRWIN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15642-9532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-988-2103
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 819 REMBRANDT CIR
-----------------------------------------------------
City | IRWIN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15642-9532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-988-2103
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | SP035335
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------