Mankah Awasom
Individual provider Active NPI Registered Nurse · Hanover, MD
NPI 1700728748 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1700728748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN500341539 (DC)
- Practice address
- 7126 Tilbury Way
Hanover, MD 21076-2270 - Phone
- (806) 472-8876
- NPI assigned
- Apr 8, 2026
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN500341539 | DC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN500341539 | DC | Yes |
Addresses
Primary practice location
7126 Tilbury Way
Hanover, MD 21076-2270
Mailing address
7126 Tilbury Way
Hanover, MD 21076-2270
Phone (806) 472-8876
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.