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NPI Code Detail

MEDICARE: ABENA SOMUAH PMHNP-BC

MEDICARE: ABENA SOMUAH PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2025090062CT

General Provider Information

NPI Number : 1821956822
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABENA SOMUAH PMHNP-BC
Provider Business Mailing Address
First Line : 53 CONNECTICUT BLVD STE 3A
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-3055
Country : US
Telephone Number : 860-840-6635
Fax Number :
Provider Business Practice Location Address
First Line : 21 WATERVILLE RD
Second Line :
City : AVON
State : CT
Zip : 06001-2097
Country : US
Telephone Number : 860-840-6635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2026
Last Update Date : 01/17/2026

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Directions to “ ABENA SOMUAH PMHNP-BC” Practice Location

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