Olivia Serwah Adjekum

Individual provider Active NPI Registered Nurse · Hagerstown, MD

NPI 1053908111 · NPPES record last updated Dec 23, 2020

Key facts

NPI
1053908111
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R236268 (MD)
Practice address
34 N Cannon Ave
Hagerstown, MD 21740-4919
Phone
(301) 797-8400
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R236268MDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R236268 MD Yes

Addresses

Primary practice location

34 N Cannon Ave
Hagerstown, MD 21740-4919

Mailing address

12910 Nittany Lion Cir
Hagerstown, MD 21740-3586
Phone (202) 290-5319

Other providers in Hagerstown, MD

All providers in Hagerstown, MD · Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.