Individual
KWABENA A ASANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
205 STEEPLE CHASE DR STE 206, PRINCE FREDERICK, MD 20678-4056
(443) 985-6421
Mailing address
3154 RENDSBURG CT, WALDORF, MD 20603-5344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R186167
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R186167
BOARD OF NURSING
MD
Enumeration date
01/06/2019
Last updated
07/10/2019
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