MEDICARE: RUDOLPH ANSAH MENSAH ACNP

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	363LA2100X	Acute Care Nurse Practitioner	LP-0010546	DE
2	363LA2100X	Acute Care Nurse Practitioner	AC008160	MD

General Provider Information

NPI Number	:	1215451901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUDOLPH ANSAH MENSAH ACNP

Provider Business Mailing Address
First Line	:	100 E CARROLL ST
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21801-5422
Country	:	US
Telephone Number	:	410-546-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E CARROLL ST
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21801
Country	:	US
Telephone Number	:	410-546-6400
Fax Number	:

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

Provider Enumeration Date	:	08/03/2017
Last Update Date	:	01/14/2026

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