Provider Demographics
NPI:1053972430
Name:AKEM, ELIZABETH ACHERE
Entity type:Individual
Prefix:
First Name:ELIZABETH ACHERE
Middle Name:
Last Name:AKEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 22ND PL
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1754
Mailing Address - Country:US
Mailing Address - Phone:240-810-8890
Mailing Address - Fax:
Practice Address - Street 1:6705 22ND PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1754
Practice Address - Country:US
Practice Address - Phone:240-810-8890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14538374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide