Provider Demographics
NPI:1033991740
Name:ATTA-EFFA, WINIFRED
Entity Type:Individual
Prefix:
First Name:WINIFRED
Middle Name:
Last Name:ATTA-EFFA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WINIFRED
Other - Middle Name:
Other - Last Name:TORKORNOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2489 EDGEWATER DR APT 5
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-5647
Mailing Address - Country:US
Mailing Address - Phone:571-486-6591
Mailing Address - Fax:
Practice Address - Street 1:2489 EDGEWATER DR APT 5
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-5647
Practice Address - Country:US
Practice Address - Phone:571-486-6591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.162149.MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse