Provider Demographics
NPI:1033698758
Name:MEH, JOSEPHINE KWAM (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:KWAM
Last Name:MEH
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 ROYAL SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2583
Mailing Address - Country:US
Mailing Address - Phone:585-771-7978
Mailing Address - Fax:
Practice Address - Street 1:696 ROYAL SUNSET DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2583
Practice Address - Country:US
Practice Address - Phone:585-771-7978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY747662163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse