Provider Demographics
NPI:1215536883
Name:MENSAH, ELLA (CRNP)
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:MENSAH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 SAINT MICHAELS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1963
Mailing Address - Country:US
Mailing Address - Phone:240-264-9036
Mailing Address - Fax:
Practice Address - Street 1:6613 SUNSET DR
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-6373
Practice Address - Country:US
Practice Address - Phone:443-399-2736
Practice Address - Fax:443-393-9770
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR217496363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care