Provider Demographics
NPI:1891472759
Name:AFUEH, MISPA AKUNG (MSN, CRNP, RNC-MNN)
Entity Type:Individual
Prefix:
First Name:MISPA
Middle Name:AKUNG
Last Name:AFUEH
Suffix:
Gender:F
Credentials:MSN, CRNP, RNC-MNN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 WHISTLING DUCK DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7138
Mailing Address - Country:US
Mailing Address - Phone:301-794-6314
Mailing Address - Fax:
Practice Address - Street 1:1932 WHISTLING DUCK DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7138
Practice Address - Country:US
Practice Address - Phone:301-794-6314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185612163WM0102X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn