MEDICARE: ERNESTINA A. OHENE-AGYAKWAH CRNP-PMH BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R204857	MD

General Provider Information

NPI Number	:	1003659467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTINA A. OHENE-AGYAKWAH CRNP-PMH BC

Provider Business Mailing Address
First Line	:	PO BOX 1355
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-1384
Country	:	US
Telephone Number	:	667-510-6596
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1355
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-1384
Country	:	US
Telephone Number	:	443-413-9942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	01/20/2026

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