Provider Demographics
NPI:1073896205
Name:AMPADU-NYARKOH, NANA (RRT)
Entity Type:Individual
Prefix:MRS
First Name:NANA
Middle Name:
Last Name:AMPADU-NYARKOH
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:NANA
Other - Middle Name:
Other - Last Name:OFOSUAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:404 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-4006
Mailing Address - Country:US
Mailing Address - Phone:908-420-9129
Mailing Address - Fax:
Practice Address - Street 1:404 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518-4006
Practice Address - Country:US
Practice Address - Phone:908-420-9129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA005352002279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care