Provider Demographics
NPI:1073206397
Name:ANSAH, RAYFRED JOSEPHINE (RN)
Entity Type:Individual
Prefix:
First Name:RAYFRED
Middle Name:JOSEPHINE
Last Name:ANSAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RAYFRED
Other - Middle Name:AFIA
Other - Last Name:ASIMAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 STATE ST UNIT 202
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5429
Mailing Address - Country:US
Mailing Address - Phone:201-402-9550
Mailing Address - Fax:201-402-9549
Practice Address - Street 1:11 STATE ST UNIT 202
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5429
Practice Address - Country:US
Practice Address - Phone:201-402-9550
Practice Address - Fax:201-402-9549
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0348200163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health