Provider Demographics
NPI:1073642104
Name:SARBENG, CHARLES DANKWA (DNP, FNP-BC, PHMNP-C)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:DANKWA
Last Name:SARBENG
Suffix:
Gender:M
Credentials:DNP, FNP-BC, PHMNP-C
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:DANKWA
Other - Last Name:SARBENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, CRNP
Mailing Address - Street 1:24 RICHMAR RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1925
Mailing Address - Country:US
Mailing Address - Phone:202-280-5727
Mailing Address - Fax:
Practice Address - Street 1:6 PARK CENTER CT STE 210
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5604
Practice Address - Country:US
Practice Address - Phone:202-271-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1010667363LF0000X, 363LP0808X
MDR133273363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily